Individual provider Active NPI

Alison Ruwet Clemons, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1285779405
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
NC 01145 Issued in NC
Practice address
1601 Abbey PL Ste 105
Charlotte, NC 28209-3731
Phone
(704) 512-5360
Fax
(704) 512-5060
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NC 01145 NC Primary

Addresses

Primary practice location

1601 Abbey PL Ste 105
Charlotte, NC 28209-3731

Mailing address

7804 Fairview Rd # 146
Charlotte, NC 28226-4998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070719000675 NC Practitioner - Emergency MedicinePractitioner - Undersea and Hyperbaric Medicine 2668378605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Undersea and Hyperbaric Medicine
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Abbey PL
Suite 105
Charlotte, NC 28209-3836
Phone (704) 512-5360

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Charlotte, NC, CCN 347091
  • Atrium Health at Home Charlotte Home health agency, Charlotte, NC, CCN 347112
  • Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue672
Removal of skin lesions31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NC 01145NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A R Clemons, MD, PC CurrentSince Sep 26, 2007 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

7804 Fairview Rd
#146
Charlotte, NC 28226

1601 Abbey Pl
Ste 105
Charlotte, NC 28209
Phone (704) 512-5360

Interoperability endpoints

  • Direct secure messaging: aclemons136507@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1285779405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 FAIRVIEW RD # 146",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093731",
            "telephone_number": "704-512-5360",
            "fax_number": "704-512-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "ALISON",
        "middle_name": "RUWET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "NC 01145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.