Clay Broders Calcote, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

14411 Issued in MS

Practice address

1500 E Woodrow Wilson Dr
Jackson, MS 39216-5116

Phone

(601) 364-1342

Fax

(601) 364-1392

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215049929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 NORTHLAKE CIRCLE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112124",
            "telephone_number": "601-957-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-364-1342",
            "fax_number": "601-364-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCOTE",
        "first_name": "CLAY",
        "middle_name": "BRODERS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "14411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Cagins
• Valerie Cagins
• Hayden Cagle, M.D.
• Kyle Margaret Maher Cagle, MD
• Leslie Manning Cain, LPC
• Jo Ann Calcote, RD
• Joseph Caldwell
• Rachael M Caldwell
• John T Calhoun, MD
• Tanya Linette Calhoun, FNP-C

• Anatomic Pathology & Clinical Pathology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Anatomic Pathology & Clinical Pathology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.