Clayton D Wilson MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD19654 Issued in TN

Legal business name

CLAYTON D WILSON MD

Practice address

1009 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-2746

Phone

(931) 762-0531

Fax

(931) 762-0998

NPI assigned

Nov 20, 2008

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clayton D Wilson, MDNPI 1144312372

Title

MD President

Phone

(931) 762-0531

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clayton D Wilson, M.D.

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1144312372
  Authorized official Same address or phone

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1427203207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642746",
            "telephone_number": "931-762-0531",
            "fax_number": "931-762-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642746",
            "telephone_number": "931-762-0531",
            "fax_number": "931-762-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON D WILSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "931-762-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD19654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baylee Nicole Clark
• Courtney B Clark, NP
• Kayce Clark, PHARM.D
• Lora Johnson Clark
• Rachael Ann Clark
• Clayton D Wilson MD Family Practice LLC PLLC (Clayton D Wilson MD Family Medicine)
• James Clayton
• Abby Laws Clifft, APN
• Kellie Dobias Coffey, APRN, BC
• Brian Cole, M.D.

• Family Medicine Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.