Individual provider Active NPI

Kawami R. Clay, M.D.

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
National Provider Identifier
1528267705
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
058860 Issued in GA
Practice address
11975 Morris Rd Ste 300
Alpharetta, GA 30005-4444
Phone
(770) 521-2295
Fax
(770) 255-0333
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19872 MS
Obstetrics & Gynecology Physician 207V00000X 058860 GA Primary
Legal Medicine 173000000X

Addresses

Primary practice location

11975 Morris Rd Ste 300
Alpharetta, GA 30005-4444

Mailing address

5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035

Other practice location 1

220 J L White Dr
Suite 120
Jasper, GA 30143-4893
Phone (706) 692-3539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20140915000970 GA Practitioner - Obstetrics/Gynecology 7719061118 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Women'S Health Specialist, P.C. Obstetrics & Gynecology Current Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Northside Womens Group LLC Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039275
  • Direct secure messaging: kawamiclay@cwhspc.allscriptsdirect.net

Organizations & group practices 4

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1528267705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-8035",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 MORRIS RD STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054444",
            "telephone_number": "770-521-2295",
            "fax_number": "770-255-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 J L White Dr",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301434893",
            "country_code": "US",
            "telephone_number": "706-692-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "KAWAMI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "19872",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "058860",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.