Active NPI
Clayton Leo Morgan Jr., PA-C
- Physician Assistant
- Richlands, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110001422
- Practice address
- 6719 Governor GC Peery Hwy
Richlands, VA 24641-2484 - Phone
- (276) 596-6778
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110001422 | VA | Primary |
| Family Medicine Physician | 207Q00000X | 824 | WV |
Addresses
Primary practice location
6719 Governor GC Peery Hwy
Richlands, VA 24641-2484
Mailing address
118 12TH Street
Princeton, WV 24740-2352
Phone (304) 487-7936
Other practice location 1
118 12th Street
Princeton, WV 24740-2352
Phone (304) 487-7936
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053383000 | Medicaid | WA | |
| 1174621726 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6719 Governor GC Peery Hwy
Suite 2450
Richlands, VA 24641-2486
Phone (276) 596-6786
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 824 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Urgent Care, Inc. - West Virginia | Past | Accepting new patients | |
| Clinch Valley Urology, LLC | Past | Accepting new patients | |
| Urgent Care, Inc - West Virginia | Past | Accepting new patients | |
| Clinch Professional Physician Services LLC | Family Medicine | Past | Accepting new patients |
| Mountaineer Gastroenterology Inc | Past | Accepting new patients | |
| Virginias Dermatology, Inc. | Past | Accepting new patients |
Interoperability endpoints
- clayton.morgan.1@19847.direct.athenahealth.com
- clayton.morgan@vab.hcadirect.net
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
Family Medicine
-
dba Clinch Valley Urgent Care
- Rural Health Clinic/Center
- Pounding Mill, VA
- NPI 1386329902
-
- Urology Physician
- Richlands, VA
- NPI 1114955168
-
- Gastroenterology Physician
- Cedar Bluff, VA
- NPI 1619164365
-
dba Urgent Care, Inc - West Virginia Summersville
- Urgent Care Clinic/Center
- Summersville, WV
- NPI 1588103626
-
dba Urgent Care, Inc. - West Virginia Elm Grove
- Urgent Care Clinic/Center
- Wheeling, WV
- NPI 1003164211
-
- Dermatology Physician
- Bluefield, WV
- NPI 1902091101
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
-
dba Clinch Valley Medical Center
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1174621726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 12TH STREET",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402352",
"telephone_number": "304-487-7936",
"fax_number": "304-431-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 GOVERNOR GC PEERY HWY",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246412484",
"telephone_number": "276-596-6778"
}
],
"practiceLocations": [
{
"address_1": "118 12th Street",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "WV",
"postal_code": "247402352",
"country_code": "US",
"telephone_number": "304-487-7936",
"fax_number": "304-487-7835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN",
"first_name": "CLAYTON",
"middle_name": "LEO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001422",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "824",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0053383000",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174621726",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.