Individual provider Active NPI

Joey Allen Clayton, PA-C

  • Surgical Physician Assistant
  • Prescott Valley, AZ
National Provider Identifier
1366734220
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
8467 Issued in AZ
Practice address
7700 E Florentine Rd Ste 202
Prescott Valley, AZ 86314-2245
Phone
(928) 458-2989
Fax
(928) 458-2155
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8467 AZ
Surgical Physician Assistant 363AS0400X PA21184 CA
Surgical Physician Assistant 363AS0400X 8467 AZ Primary

Addresses

Primary practice location

7700 E Florentine Rd Ste 202
Prescott Valley, AZ 86314-2245

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786

Other practice location 1

1223 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 777-9950

Other identifiers 1

IdentifierTypeStateIssuer
094811MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630000781 AZ Practitioner - Physician Assistant 7517136377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3120 Clearwater Dr
Prescott, AZ 86305-7131
Phone (928) 771-3704

7700 E Florentine Rd
Prescott Valley, AZ 86314-2245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21184CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Aug 16, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Aug 16, 2021 Accepting new patients
Prescott Gastroenterology Past Accepting new patients
MSK-US, Inc. PastSince Jun 5, 2011 Accepting new patients

Locations

3195 Stillwater Dr
Ste D
Prescott, AZ 86305
Phone (928) 443-9753

1001 Willow Creek Rd
Ste 1300
Prescott, AZ 86301
Phone (928) 708-4545

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

3262 N Windsong Dr
Ste B
Prescott Valley, AZ 86314
Phone (928) 708-4545

7700 E Florentine Rd
Ste 202
Prescott Valley, AZ 86314
Phone (928) 442-8710

Interoperability endpoints

  • Direct secure messaging: jclayton80412@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1366734220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 E FLORENTINE RD STE 202",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142245",
            "telephone_number": "928-458-2989",
            "fax_number": "928-458-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011427",
            "country_code": "US",
            "telephone_number": "928-777-9950",
            "fax_number": "928-777-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JOEY",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8467",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21184",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "8467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094811",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.