Individual provider Active NPI

Kimberly Lavita Clayton Brown, MD

  • Surgery Physician
  • Daytona Beach, FL
National Provider Identifier
1306830617
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME88022 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 101
Daytona Beach, FL 32117-5169
Phone
(386) 231-3615
Fax
(386) 231-3614
NPI assigned
Sep 1, 2005
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME88022 FL Primary

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 101
Daytona Beach, FL 32117-5169

Mailing address

305 Memorial Medical Pkwy Ste 101
Daytona Beach, FL 32117-5169
Phone (386) 231-3615

Other identifiers 2

IdentifierTypeStateIssuer
593287185OtherFLTID
128026100MedicaidFL

Other names 1

  • Kimberley Lavita Clayton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031223000242 FL Practitioner - General Surgery 0547168205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

305 Memorial Medical Pkwy
Suite 130
Daytona Beach, FL 32117-5169
Phone (386) 231-3615

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1160
Removal of skin lesions46
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88022FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC CurrentSince Feb 11, 2020 Accepting new patients
Nautilus Health Care Group LLC Surgery CurrentSince Feb 11, 2020 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

2040 Oakley Seaver Dr
Ste 200
Clermont, FL 34711
Phone (352) 536-8788

305 Memorial Medical Pkwy
Ste 101
Daytona Beach, FL 32117
Phone (386) 231-3177

305 Memorial Medical Pkwy
Ste 130
Daytona Beach, FL 32117
Phone (386) 231-3615

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

515 W State Road 434
Ste 101
Longwood, FL 32750
Phone (407) 767-5843

600 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-3850

600 Palmetto St
#1
New Smyrna Beach, FL 32168
Phone (386) 424-5000

600 Palmetto St
Ste 5
New Smyrna Beach, FL 32168

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

7339 Stonerock Cir
Orlando, FL 32819
Phone (321) 842-7308

2912 17th St
Saint Cloud, FL 34769
Phone (407) 892-2388

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1306830617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 101",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-231-3615",
            "fax_number": "386-231-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 101",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175169",
            "telephone_number": "386-231-3615",
            "fax_number": "386-231-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIMBERLY",
        "middle_name": "LAVITA CLAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME88022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TID",
            "identifier": "593287185",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128026100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "CLAYTON",
            "middle_name": "LAVITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.