Active NPI
Gregory Kyle Clifton, AU.D.
- Audiologist
- Orlando, FL
National Provider Identifier
1376957910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1871
- Practice address
- 11602 Lake Underhill Rd Ste 130
Orlando, FL 32825-4460 - Phone
- (407) 635-8497
- Fax
- (407) 627-1680
- NPI assigned
- Jun 11, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | AY1871 | FL | |
| Hearing Instrument Specialist | 237700000X | |||
| Audiologist | 231H00000X | AY1871 | FL | Primary |
Addresses
Primary practice location
11602 Lake Underhill Rd Ste 130
Orlando, FL 32825-4460
Mailing address
11602 Lake Underhill Rd Ste 130
Orlando, FL 32825-4460
Phone (407) 635-8497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11602 Lake Underhill Rd
Suite 130
Orlando, FL 32825-4460
Phone (407) 635-8497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1871 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Orlando Audiology Hearing & Wellness | Audiologist | Current | Accepting new patients |
Locations
11602 Lake Underhill Rd
Ste 130
Orlando, FL 32825
Phone (407) 635-8497
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.
-
- Audiologist
- Orlando, FL
- NPI 1457950669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1376957910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11602 LAKE UNDERHILL RD STE 130",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254460",
"telephone_number": "407-635-8497",
"fax_number": "407-627-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11602 LAKE UNDERHILL RD STE 130",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328254460",
"telephone_number": "407-635-8497",
"fax_number": "407-627-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "GREGORY",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AY1871",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.