Individual provider Active NPI

Jill D Clay, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1306883582
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.134968 Issued in OH
Practice address
2260 Morse Rd
Columbus, OH 43229-5858
Phone
(614) 702-7899
Fax
(614) 706-1570
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-112485 IL
Internal Medicine Physician 207R00000X 35.134968 OH Primary

Addresses

Primary practice location

2260 Morse Rd
Columbus, OH 43229-5858

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (614) 702-7899

Other practice location 1

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (773) 843-3000

Other names 1

  • Miss Jill D Woods Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220129000093 OH Practitioner - Internal Medicine 8022049741 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112485ILMDInternal Medicine Physician
35.134968OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Columbus Ohio, LLC CurrentSince Jan 1, 2022 Accepting new patients
Dedicated Columbus Ohio, LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2260 Morse Rd
Columbus, OH 43229
Phone (305) 831-4453

Interoperability endpoints

  • Direct secure messaging: jill.clay.1@19513.direct.athenahealth.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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1306883582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "614-702-7899",
            "fax_number": "614-706-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295858",
            "telephone_number": "614-702-7899",
            "fax_number": "614-706-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3860 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606232460",
            "country_code": "US",
            "telephone_number": "773-843-3000",
            "fax_number": "773-521-2742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JILL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-112485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.134968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WOODS",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.