Active NPI
James Sidney Clements Jr., M.D.
- Infectious Disease Physician
- Pensacola, FL
National Provider Identifier
1386728780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0054764
- Practice address
- 5120 Bayou Blvd Ste 11
Pensacola, FL 32503-2135 - Phone
- (850) 432-3692
- Fax
- (850) 332-6445
- NPI assigned
- Oct 24, 2006
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME0054764 | FL | Primary |
Addresses
Primary practice location
5120 Bayou Blvd Ste 11
Pensacola, FL 32503-2135
Mailing address
5120 Bayou Blvd Ste 11
Pensacola, FL 32503-2135
Phone (850) 432-3692
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009505730 | Medicaid | AL | |
| 035962900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0054764 | FL | MD | Infectious Disease Physician |
Interoperability endpoints
- jclements@idg.gwaydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1386728780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 BAYOU BLVD STE 11",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032135",
"telephone_number": "850-432-3692",
"fax_number": "850-332-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 BAYOU BLVD STE 11",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032135",
"telephone_number": "850-432-3692",
"fax_number": "850-332-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "JAMES",
"middle_name": "SIDNEY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME0054764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009505730",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035962900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.