Clayton Conners, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012083 Issued in GA

Practice address

360 Peachtree St
Jesup, GA 31545

Phone

(912) 559-2071

NPI assigned

Aug 21, 2015

Last updated

Jul 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine and Rehab Therapy CamdenGroup PAC ID 9537534318, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sports Medicine and Rehab Therapy Camden

  dba SMART Physical Therapy

  • Physical Therapist
  • Kingsland, GA
  • NPI 1821796145
  Medicare reassignment Care Compare group NPD Authorized official
• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  Medicare reassignment NPD
• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD
• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Brunswick, GA
  • NPI 1407121783
  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1275900508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016209",
            "telephone_number": "912-285-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "31545",
            "telephone_number": "912-559-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERS",
        "first_name": "CLAYTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Serenity Counseling, LLC
• Caitlyn Smith Coleman, M.D.
• Daniel B Collipp, D.O.
• Platon J Collipp, M.D.
• Melanie D Collum, FNP-BC
• Jay Brandon Cook, M.D.
• William Frederic Corey, PH.D.
• Porche Lashoade Corley, LCSW
• Costrini & Meadows, PC
• Wilma R Cote, FNP-BC

• Physical Therapist in Jesup, GA
• Providers in Jesup, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.