Clyde A Epps, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

506 Island Grove Rd
Maxton, NC 28364-7840

Phone

(910) 374-5415

NPI assigned

Apr 19, 2007

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advantage Behavioral Healthcare IncGroup PAC ID 3779771316, 9 clinicians

Rha Behavioral Health NC LLCGroup PAC ID 4688948656, 20 clinicians

Southeastern Regional Medical CenterGroup PAC ID 7315857141, 54 clinicians

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cepps2846078@carolinashealthcaresystem.direct-ci.com
• Direct secure messaging: cepps646857@direct.unc.nchie.net

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.

• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment Care Compare group NPD
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1689750663
  Medicare reassignment Care Compare group
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1700318680
  Medicare reassignment Care Compare group
• Southeastern Regional Medical Center

  • Clinic/Center
  • Lumberton, NC
  • NPI 1154399699
  Medicare reassignment Care Compare group
• Robeson Psychiatric Consultants PLLC

  • Physician Assistant
  • Maxton, NC
  • NPI 1811567571
  NPD Authorized official
• Premier Behavioral Services Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1457657645
  Medicare reassignment
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1053771717
  NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1164151080
  NPD
• Scotland Memorial Hospital Inc

  dba Scotland Professional Services

  • General Practice Physician
  • Laurinburg, NC
  • NPI 1518951144

  Physician Assistant

  NPD
• Southeastern Regional Medical Center

  dba SRMC-Behavioral Health Services

  • Psychiatry Physician
  • Lumberton, NC
  • NPI 1760887301
  NPD
• Southeastern Regional Medical Center

  dba Southeastern Radiology

  • Diagnostic Radiology Physician
  • Lumberton, NC
  • NPI 1932089612
  NPD
• Advantage Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Whiteville, NC
  • NPI 1902100019
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeastern Regional Medical Center

  dba UNC Health Southeastern

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1174740138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ISLAND GROVE RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283647840",
            "telephone_number": "910-374-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 ISLAND GROVE RD",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283647840",
            "telephone_number": "910-374-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPS",
        "first_name": "CLYDE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NC",
            "license": "104169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "0169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenyonna I Deese
• Katina Dianne Dial-Scott, MA, LPC
• Jasmine Hailey Dial
• Christina Wood Dietrich, M.A, CCC-SLP
• Erica Ellison
• Fairley Support Group Home Inc.
• Family Alternatives, Inc. (Family Alternatives, Inc. Group Home #3)
• Family Alternatives, Inc. (Family Alternatives, Inc. Powers Apartments)
• Angela Pruitt Fields, FNP-BC
• First Choice Home Care

• Physician Assistant in Maxton, NC
• Providers in Maxton, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.

Verify at the official NPI Registry.