Active NPI
Clayton Baldwin
- Physician Assistant
- Evans, WV
National Provider Identifier
1184494668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3205
- Practice address
- 129 King Dr
Evans, WV 25241-9719 - Phone
- (304) 532-8688
- NPI assigned
- Jan 4, 2024
- Last updated
- Sep 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3205 | WV | Primary |
Addresses
Primary practice location
129 King Dr
Evans, WV 25241-9719
Mailing address
129 King Dr
Evans, WV 25241-9719
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1184494668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 KING DR",
"city": "EVANS",
"state": "WV",
"postal_code": "252419719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 KING DR",
"city": "EVANS",
"state": "WV",
"postal_code": "252419719",
"telephone_number": "304-532-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "CLAYTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-04",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "3205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.