NPIMap

Individual provider Active NPI

Joe C Clifton, MD

  • Obstetrics & Gynecology Physician
  • Valdosta, GA
National Provider Identifier
1255417994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036125 Issued in GA
Practice address
220 Northside Drive
Valdosta, GA 31602
Phone
(229) 241-2800
Fax
(229) 241-0454
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036125 GA Primary

Addresses

Primary practice location

220 Northside Drive
Valdosta, GA 31602

Mailing address

220 Northside Drive
Valdosta, GA 31602
Phone (229) 241-2800

Other identifiers 1

IdentifierTypeStateIssuer
00516095MMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000099 GA Practitioner - Obstetrics/Gynecology 5890693956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwell Ambulatory IncGroup PAC ID 9234566779, 11 clinicians

Practice addresses (Care Compare)

814 Northwood Park Dr
Valdosta, GA 31602-1398
Phone (229) 353-6889

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036125GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern OB GYN Associates P C Obstetrics & Gynecology CurrentSince May 1, 1998 Accepting new patients
Tift Regional Health System Inc Obstetrics & Gynecology CurrentSince Jun 1, 2024 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 1, 2024 Accepting new patients
Tift Regional Health System Inc. CurrentSince Nov 1, 2020 Accepting new patients
Southwell Ambulatory Inc CurrentSince Nov 1, 2020 Accepting new patients
Southwell Ambulatory Inc Current Accepting new patients
Southwell Ambulatory Inc Obstetrics & Gynecology Past Accepting new patients

Locations

260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

814 Northwood Park Dr
Valdosta, GA 31602
Phone (229) 259-0032

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20731/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joe.clifton@gadirect.net
  • Direct secure messaging: joe.clifton.1@20731.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255417994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NORTHSIDE DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-2800",
            "fax_number": "229-241-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NORTHSIDE DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-241-2800",
            "fax_number": "229-241-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "JOE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00516095M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.