Individual provider Active NPI

James M. Clements, M.D.

  • Family Medicine Physician
  • Glasgow, KY
National Provider Identifier
1417367376
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50195 Issued in KY
Practice address
1330 N Race St
Glasgow, KY 42141-3465
Phone
(270) 629-5111
Fax
(270) 629-5115
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 50195 KY Primary

Addresses

Primary practice location

1330 N Race St
Glasgow, KY 42141-3465

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 629-5111

Other identifiers 1

IdentifierTypeStateIssuer
7100379430MedicaidKY

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLC 207 clinicians

Practice addresses (Care Compare)

1330 N Race St
Glasgow, KY 42141-3465
Phone (270) 629-5111

Hospital & facility affiliations

  • T. J. Samson Comm Hosp Home Care Program Home health agency, Glasgow, KY, CCN 187062
  • Family Home Health Care, LLC Dba Adoration Home Health Home health agency, Columbia, KY, CCN 187119
  • Hosparus, Inc Hospice, Louisville, KY, CCN 181502
  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Caverna Memorial Hospital Hospital, Horse Cave, KY, CCN 181314

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170721002714 KY Practitioner - Family Practice 9234447830 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Aug 1, 2017 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Aug 1, 2017 Accepting new patients
Commonwealth of Kentucky Past Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1330 N Race St
Glasgow, KY 42141
Phone (270) 629-2780

Interoperability endpoints

  • Direct secure messaging: jamesclements@ggc.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417367376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-629-5111",
            "fax_number": "270-629-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413465",
            "telephone_number": "270-629-5111",
            "fax_number": "270-629-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JAMES",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "50195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100379430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.