Organization Active NPI

Clayton Healthcare, P.C.

  • Internal Medicine Physician
  • Jonesboro, GA
National Provider Identifier
1265463277
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035982 Issued in GA
Legal business name
CLAYTON HEALTHCARE, P.C.
Practice address
3139 Bay View Dr
Jonesboro, GA 30236-4139
Phone
(404) 695-3989
Fax
(770) 991-5012
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Ramesh Reddy, M.D.
Title
Physician
Phone
(770) 478-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 035982 GA Primary

Addresses

Primary practice location

3139 Bay View Dr
Jonesboro, GA 30236-4139

Mailing address

3139 Bay View Dr
Jonesboro, GA 30236-4139
Phone (770) 478-7828

Other practice location 1

7290 Lester Rd
Union City, GA 30291
Phone (770) 964-3301

Other identifiers 1

IdentifierTypeStateIssuer
085002918GMedicaidGA

National Provider Directory

National Provider Directory

Locations

157 N Main St
Jonesboro, GA 30236
Phone (770) 478-1001

147 N Main St
#A
Jonesboro, GA 30236

157 N Main St
Ste B
Jonesboro, GA 30236

147A N Main St
Jonesboro, GA 30236

147 N Main St
Jonesboro, GA 30236
Phone (770) 478-7828

Practitioners & affiliated clinicians

Practitioners 3

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1265463277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 BAY VIEW DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364139",
            "telephone_number": "770-478-7828",
            "fax_number": "770-478-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 BAY VIEW DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364139",
            "telephone_number": "404-695-3989",
            "fax_number": "770-991-5012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7290 Lester Rd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "GA",
            "postal_code": "30291",
            "country_code": "US",
            "telephone_number": "770-964-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLAYTON HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-478-7828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "035982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085002918G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.