Thomas E Clayton, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14024 Issued in TN

Practice address

1645 S Main St
Suite 101
Crossville, TN 38555-5998

Phone

(931) 484-7531

Fax

(931) 456-9515

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Crossville Family Medicine LLC

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1093349169
  NPD
• Physicians' Associates, LLC

  • General Practice Physician
  • Crossville, TN
  • NPI 1942441332
  NPD

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1295734382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555998",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST",
            "address_2": "SUITE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555998",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "14024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3194089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Grace Choate, PHARMD
• Christian Counseling Center of Cumberland County
• Charles Clark
• Courtney Denise Clark, LPC-MHSP
• Stephen Dennis Clark, M.D.
• CMC Hospitalist Group, LLC
• CMC Physician Group
• Keri Lynne Coburn, RN
• Whitney Coffey
• Tammy Michelle Cole, LPN

• Internal Medicine Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.