Active NPI
Teague Lon Horton, MD
- Pediatrics Physician
- Clinton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200300481
- Practice address
- 403 Fairview St
Clinton, NC 28328-2399 - Phone
- (910) 592-6011
- Fax
- (910) 592-0811
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 23, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200300481 | NC | Primary |
Addresses
Primary practice location
403 Fairview St
Clinton, NC 28328-2399
Mailing address
403 Fairview St
Clinton, NC 28328-2399
Phone (910) 592-6011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1332X | Other | BCBS | |
| C6026 | Other | MEDCOST | |
| 8913324 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clintonmedicalclinic@cmci.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- State University of New York at Buffalo School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 Fairview St
Clinton, NC 28328-2311
Phone (910) 592-6011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Medical Clinic, Inc. | Pediatrics | Current | Accepting new patients |
| Goldsboro Pediatrics PA | Pediatrics | Past | Accepting new patients |
| Goldsboro Pediatrics PA | Pediatrics | Past | Accepting new patients |
Locations
403 Fairview St
Clinton, NC 28328
Phone (910) 590-0619
404 Fairview St
Clinton, NC 28328
Phone (910) 592-6011
Interoperability endpoints
- clintonmedicalclinic@cmci.allscriptsdirect.net
- teaguehorton@cmci.allscriptsdirect.net
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.
-
dba Clinton Medical Clinic
- General Practice Physician
- Clinton, NC
- NPI 1780629154
Pediatrics
-
- Pediatrics Physician
- Goldsboro, NC
- NPI 1427125269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658534400000",
"number": "1376610139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282399",
"telephone_number": "910-592-6011",
"fax_number": "910-592-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282399",
"telephone_number": "910-592-6011",
"fax_number": "910-592-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "TEAGUE",
"middle_name": "LON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200300481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1332X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C6026",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913324",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clintonmedicalclinic@cmci.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Clinton Medical Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "DM",
"address_1": "403 Fairview St",
"city": "Clinton",
"state": "NC",
"country_code": "US",
"postal_code": "283282399",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.