Individual provider Active NPI

Todd A Clayton, M.D.

  • Family Medicine Physician
  • Jackson, MS
National Provider Identifier
1386621936
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15487 Issued in MS
Practice address
1200 N State St Ste LL-10
Jackson, MS 39202-2000
Phone
(601) 362-7280
Fax
(601) 362-8116
NPI assigned
Dec 26, 2005
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15487 MS Primary

Addresses

Primary practice location

1200 N State St Ste LL-10
Jackson, MS 39202-2000

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

1200 N State St Ste 270
Jackson, MS 39202-2027
Phone (601) 974-6246

Other identifiers 1

IdentifierTypeStateIssuer
00121402MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000042 MS Practitioner - Family Practice 1951471960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N State St
Suite 500
Jackson, MS 39202-2027
Phone (601) 352-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15487MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms Family Medicine CurrentSince Dec 10, 2012 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Medical Foundation of Central Mississippi, Inc CurrentSince Dec 10, 2012 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Family Medicine CurrentSince Jun 4, 2023 Accepting new patients
BMC - Attala, LLC Family Medicine PastSince Jun 4, 2023 Accepting new patients

Locations

1200 N State St
#10
Jackson, MS 39202
Phone (601) 362-7280

1200 N State St
Ste 270
Jackson, MS 39202
Phone (601) 714-6470

1200 N State St
Ste 480
Jackson, MS 39202
Phone (601) 352-2273

1200 N State St
Ste 500
Jackson, MS 39202
Phone (601) 352-2273

1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: tclayton149193@direct.bmhcc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1386621936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE LL-10",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022000",
            "telephone_number": "601-362-7280",
            "fax_number": "601-362-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022027",
            "country_code": "US",
            "telephone_number": "601-974-6246",
            "fax_number": "601-353-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121402",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.