Active NPI
Albert Anthony Clairmont Jr., M.D.
- Otolaryngology Physician
- Cleveland, TN
National Provider Identifier
1336242569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D36996
- Practice address
- 2700 Westside Dr NW
Suite 308
Cleveland, TN 37312-3699 - Phone
- (423) 479-4132
- Fax
- (423) 478-5347
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D36996 | TN | Primary |
Addresses
Primary practice location
2700 Westside Dr NW
Suite 308
Cleveland, TN 37312-3699
Mailing address
2700 Westside Dr NW
Suite 308
Cleveland, TN 37312-3699
Phone (423) 479-4132
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3882460 | Other | TN | INDIVIDUAL MEDICARE PTAN |
| 36996 | Other | TN | LICENSE |
| 3882469 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D36996 | TN | MD | Otolaryngology Physician |
| 1473 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta ENT Sinus & Allergy Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Atlanta, GA
- NPI 1285619544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1336242569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WESTSIDE DR NW",
"address_2": "SUITE 308",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123699",
"telephone_number": "423-479-4132",
"fax_number": "423-478-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WESTSIDE DR NW",
"address_2": "SUITE 308",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123699",
"telephone_number": "423-479-4132",
"fax_number": "423-478-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAIRMONT",
"first_name": "ALBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "D36996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICARE PTAN",
"identifier": "3882460",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "36996",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3882469",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.