Clint Thurmond Seymour, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

23619 Issued in SC

Practice address

7 Winding Creek CV
Conway, AR 72034-8761

Phone

(864) 980-2970

Fax

(501) 222-6741

NPI assigned

Aug 31, 2005

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: clint.seymour@202362935902212.direct.elationemr.com
• Direct secure messaging: cseymour1@direct-address.org
• Direct secure messaging: cseymour1@directaddress.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.

• Clint T. Seymour, Inc.

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1801088265
  NPD (past) Authorized official
• Arkansas Health Group

  dba Paulk Family Clinic/A Baptist Health Affiliate

  • Family Medicine Physician
  • Sheridan, AR
  • NPI 1548239247
  NPD (past)
• Piedmont Health Group LLC

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1275597585
  NPD (past)
• Self Medical Group

  dba Advanced Gastroenterology

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)
• United Emergency Services, Inc.

  • Emergency Medicine Physician
  • Booneville, MS
  • NPI 1326007915
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1194719518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WINDING CREEK CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348761",
            "telephone_number": "864-980-2970",
            "fax_number": "501-222-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WINDING CREEK CV",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348761",
            "telephone_number": "864-980-2970",
            "fax_number": "501-222-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "CLINT",
        "middle_name": "THURMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T6378",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12736",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "140794",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "23619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00430617",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H863850281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T78680",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Settgast, RECOVERY ASSISTANT
• Susan Setzler, CCC-SLP/L
• Malcolm Sevier
• Helen Rose Sevigny
• Brittany Sexson, PT
• Angel Michelle Shadwick
• Alaa Mohammed Shahare, DDS
• Shane E. Ford OD PA (Arkansas Eye Care Group)
• Alexys Shankle
• Savannah Shankles

• Hospice and Palliative Medicine (Family Medicine) Physician in Conway, AR
• Providers in Conway, AR by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.