Individual provider Active NPI

Tyger Cyerra Naomi Meade Clayton, PA-C

  • Physician Assistant
  • Garden City, GA
National Provider Identifier
1174920615
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7397 Issued in GA
Practice address
109 Minis Ave
Garden City, GA 31408-2128
Phone
(912) 966-5445
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7397 GA Primary

Addresses

Primary practice location

109 Minis Ave
Garden City, GA 31408-2128

Mailing address

108 Massey St
Pooler, GA 31322-2009

Other names 1

  • Tyger Cyerra Clayton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7397GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Associates Immediate Care Center Current Accepting new patients
American Current Care PA Current Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

361 Commercial Dr
#F
Savannah, GA 31406
Phone (912) 355-2400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1174920615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MASSEY ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MINIS AVE",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082128",
            "telephone_number": "912-966-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "TYGER",
        "middle_name": "CYERRA NAOMI MEADE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYGER",
            "last_name": "CLAYTON",
            "middle_name": "CYERRA",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Garden City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.