Individual provider Active NPI

Lachaya Mary Clemons, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1467918029
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5012301 Issued in NC
Practice address
4813 W Market St
Greensboro, NC 27407-1403
Phone
(866) 510-4357
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012301 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1129719 TX

Addresses

Primary practice location

4813 W Market St
Greensboro, NC 27407-1403

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other identifiers 2

IdentifierTypeStateIssuer
254281OtherNCREGISTERED NURSE
5012301OtherNCNURSE PRACTITIONER

Other names 1

  • Lachaya Mary Radcliff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200127000610 NC Practitioner - Nurse Practitioner 0345675062 Reassigns benefits to 3 organizations
I20230818000208 TX Practitioner - Nurse Practitioner 0345675062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

341 N Fayetteville St
Asheboro, NC 27203-5501
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012301NCMDPsychiatric/Mental Health Nurse Practitioner
1129719TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S&H Youth and Adult Services, Inc. CurrentSince Oct 20, 2020 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Eleanor Health Professional NC, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Eleanor Health Professional TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Brightview LLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

341 N Fayetteville St
Asheboro, NC 27203
Phone (336) 629-8896

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

4813 W Market St
Greensboro, NC 27407
Phone (855) 510-4357

311 Hill St
Murphy, NC 28906
Phone (828) 835-2420

696 S Scales St
Reidsville, NC 27320

714 S Main St
Salisbury, NC 28144
Phone (704) 603-8285

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

8500 Village Dr
Ste 101
San Antonio, TX 78217
Phone (726) 201-3047

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1467918029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071403",
            "telephone_number": "866-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "LACHAYA",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012301",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1129719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "254281",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "5012301",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACHAYA",
            "last_name": "RADCLIFF",
            "middle_name": "MARY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.