Raymond Marvin Clifton Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110004380 Issued in VA

Practice address

808 Eden Way N Ste 102
Chesapeake, VA 23320

Phone

(757) 216-4030

Fax

(757) 216-4029

NPI assigned

Jan 31, 2014

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 VA

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.83 of 100Reported as group

Quality

47.9

Promoting interoperability

99

Improvement activities

40

Cost

79.04

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: raymond.clifton.1@2912.direct.athenahealth.com

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.

• Shoreline Physical Medicine and Wellness, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
  • NPI 1487442570
  Medicare reassignment NPD
• Winke Orthopedic Pain Management Center

  • Physical Medicine & Rehabilitation Physician
  • Chesapeake, VA
  • NPI 1386973253
  Medicare reassignment

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1194148833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 EDEN WAY N STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200745",
            "telephone_number": "757-216-4030",
            "fax_number": "757-216-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 EDEN WAY N STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-216-4030",
            "fax_number": "757-216-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 N Witchduck Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556217",
            "country_code": "US",
            "telephone_number": "757-355-5288",
            "fax_number": "949-864-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 Burnetts Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348366",
            "country_code": "US",
            "telephone_number": "757-216-4030",
            "fax_number": "757-216-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "RAYMOND",
        "middle_name": "MARVIN",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04776",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSE NUMBER",
            "identifier": "0110004380",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Hobart Clemens, D.O.
• Clementine Virginia ABA LLC
• Amy M Clements, NP
• Clients First Home Health Inc.
• Clients First Home Health Inc.
• Clinical Healing and Mindfulness Practices LLC
• Cloyd Home Care, LLC
• Co-Op Managed Health Care (Co-Op Care Agency)
• Coastal Counseling Center Inc
• Coastal Prosthetics and Orthotics, LLC

• Physician Assistant in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.