Active NPI
Clayton Singletary
- Student in an Organized Health Care Education/Training Program
- Augusta, GA
National Provider Identifier
1245927078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- DN123141
- Practice address
- 203 Gardners Mill Rd
Augusta, GA 30907-3719 - Phone
- (706) 993-7236
- NPI assigned
- Apr 21, 2023
- Last updated
- Aug 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DN123141 | GA | Primary |
Addresses
Primary practice location
203 Gardners Mill Rd
Augusta, GA 30907-3719
Mailing address
203 Gardners Mill Rd
Augusta, GA 30907-3719
Phone (706) 993-7236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN123141 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1245927078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 GARDNERS MILL RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309073719",
"telephone_number": "706-993-7236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 GARDNERS MILL RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309073719",
"telephone_number": "706-993-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETARY",
"first_name": "CLAYTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2023-08-02",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "DN123141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.