Active NPI
Robert Douglas Clayton, MD. PC.
- Internal Medicine Physician
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 035836
- Legal business name
- ROBERT DOUGLAS CLAYTON, MD. PC.
- Practice address
- 4060 Johns Creek Pkwy
BLDG F
Suwanee, GA 30024-1230 - Phone
- (678) 205-0525
- Fax
- (770) 604-9316
- NPI assigned
- Jul 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Douglas Clayton, MD
- Title
- Owner
- Phone
- (678) 205-0525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 035836 | GA | Primary |
Addresses
Primary practice location
4060 Johns Creek Pkwy
BLDG F
Suwanee, GA 30024-1230
Mailing address
4060 Johns Creek Pkwy
BLDG F
Suwanee, GA 30024-1230
Phone (678) 205-0525
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000517338C | Medicaid | GA | |
| 511G700888 | Other | GA | MEDICARE |
| 9210293 | Other | GA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1090375 | Robert Douglas Clayton MD PC | Provider-performed microscopy | Oct 8, 2026 |
National Provider Directory
National Provider DirectoryLocations
4060 Johns Creek Pkwy
Suwanee, GA 30024
Phone (404) 805-6167
4060 Johns Creek Pkwy
Ste F
Suwanee, GA 30024
Phone (678) 205-0525
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Suwanee, GA
- NPI 1558436907
-
- Urology Physician
- Suwanee, GA
- NPI 1972635811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259712000000",
"number": "1174788079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 JOHNS CREEK PKWY",
"address_2": "BLDG F",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241230",
"telephone_number": "678-205-0525",
"fax_number": "770-604-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 JOHNS CREEK PKWY",
"address_2": "BLDG F",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241230",
"telephone_number": "678-205-0525",
"fax_number": "770-604-9316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT DOUGLAS CLAYTON, MD. PC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-21",
"last_updated": "2009-12-02",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-205-0525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "035836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000517338C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "511G700888",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9210293",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.