Individual provider Active NPI

Clayton Barkley Darley, NP

  • Family Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1235497025
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN135450 Issued in GA
Practice address
334 Smith Ave
Thomasville, GA 31792-5533
Phone
(229) 227-1595
Fax
(229) 227-1385
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN135450 GA Primary

Addresses

Primary practice location

334 Smith Ave
Thomasville, GA 31792-5533

Mailing address

334 Smith Ave
Thomasville, GA 31792-5533
Phone (229) 227-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20120723000044 GA Practitioner - Nurse Practitioner 4082870993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

334 Smith Ave
Thomasville, GA 31792-5533
Phone (229) 227-1595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN135450GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Medical Associates of Georgia LLC CurrentSince Oct 1, 2017 Accepting new patients
Archbold Medical Group, Inc. Past Accepting new patients
Nephrology Medical Associates of Georgia, LLC Past Accepting new patients
Nephrology Medical Associates of Georgia LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

259 US Highway 19 N
Camilla, GA 31730
Phone (229) 227-1229

449 31st Ave SE
Moultrie, GA 31768
Phone (229) 227-1595

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

334 Smith Ave
Thomasville, GA 31792
Phone (229) 226-9412

Interoperability endpoints

  • Direct secure messaging: clayton.darley@direct.davitaphysiciansolutions.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1235497025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595",
            "fax_number": "229-227-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925533",
            "telephone_number": "229-227-1595",
            "fax_number": "229-227-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLEY",
        "first_name": "CLAYTON",
        "middle_name": "BARKLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN135450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.