Organization Active NPI

Clayton Medical and Vascular Center PLLC

  • Cardiovascular Disease Physician
  • Clayton, NC
National Provider Identifier
1235565946
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2012-02254 Issued in NC
Legal business name
CLAYTON MEDICAL AND VASCULAR CENTER PLLC
Practice address
101 Winding Wood Dr
Clayton, NC 27520-4493
Phone
(919) 553-1911
Fax
(919) 553-3933
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. Alan Nadour, M.D.NPI 1326178302
Title
Physician
Phone
(919) 553-1911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 2012-02254 NC Primary

Addresses

Primary practice location

101 Winding Wood Dr
Clayton, NC 27520-4493

Mailing address

101 Winding Wood Dr
Clayton, NC 27520-4493
Phone (919) 553-1911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131023000776 NC Part B Supplier - Clinic/Group Practice 7315172673 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2162905Clayton Medical and Vascular Center101 Winding Wood Drive, Clayton, NC 27520Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1235565946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WINDING WOOD DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204493",
            "telephone_number": "919-553-1911",
            "fax_number": "919-553-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WINDING WOOD DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204493",
            "telephone_number": "919-553-1911",
            "fax_number": "919-553-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON MEDICAL AND VASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "NADOUR",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-553-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2012-02254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.