Individual provider Active NPI

Clayton Daniel Reid, FNP-C

  • Family Nurse Practitioner
  • Commerce, GA
National Provider Identifier
1285215319
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP230821 Issued in GA
Practice address
112 Banks Rd Ste 1
Commerce, GA 30529-6300
Phone
(706) 677-4568
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP230821 GA Primary

Addresses

Primary practice location

112 Banks Rd Ste 1
Commerce, GA 30529-6300

Mailing address

112 Banks Rd Ste 1
Commerce, GA 30529-6300
Phone (706) 677-4568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210519001148 GA Practitioner - Nurse Practitioner 9830598192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127

112 Banks Rd
Suite 1
Commerce, GA 30529-6300
Phone (706) 677-4568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP230821GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia, Inc CurrentSince Jul 6, 2021 Accepting new patients
Medlink Georgia Inc CurrentSince Jul 6, 2021 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

112 Banks Rd
Ste 1
Commerce, GA 30529
Phone (706) 677-4568

1244 Historic Homer Hwy
Homer, GA 30547
Phone (706) 677-2250

Interoperability endpoints

  • Direct secure messaging: clayton.reid.1@9864.direct.athenahealth.com
  • Direct secure messaging: clayton.reid@mgi.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1285215319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BANKS RD STE 1",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296300",
            "telephone_number": "706-677-4568",
            "fax_number": "844-443-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BANKS RD STE 1",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296300",
            "telephone_number": "706-677-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CLAYTON",
        "middle_name": "DANIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP230821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

Verify at the official NPI Registry.