Active NPI
Ashley Cliatt
- Prosthetist
- Rome, GA
National Provider Identifier
1336944966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- JAB7A4T5WV
- Practice address
- 2003 N Broad St NE
Rome, GA 30161-5309 - Phone
- (706) 237-7118
- NPI assigned
- Feb 18, 2025
- Last updated
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | JAB7A4T5WV | GA | Primary |
Addresses
Primary practice location
2003 N Broad St NE
Rome, GA 30161-5309
Mailing address
2003 N Broad St NE
Rome, GA 30161-5309
Phone (706) 237-7118
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JAB7A4T5WV | GA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1336944966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 N BROAD ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301615309",
"telephone_number": "706-237-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 N BROAD ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301615309",
"telephone_number": "706-237-7118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIATT",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "GA",
"license": "JAB7A4T5WV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.