Individual provider Active NPI

Gary M. Clay Jr., M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1548705239
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME134900 Issued in FL
Practice address
5361 NW 22ND Ave
Miami, FL 33142-8035
Phone
(305) 637-6400
Fax
(305) 636-5155
NPI assigned
Jan 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76960 GA
Family Medicine Physician 207Q00000X ME134900 FL Primary

Addresses

Primary practice location

5361 NW 22ND Ave
Miami, FL 33142-8035

Mailing address

5607 NW 27TH Ave Ste 1
Miami, FL 33142-2826
Phone (305) 805-1700

Other practice location 1

2336 Dawson Rd
Suite 2200
Albany, GA 31707-2800
Phone (229) 312-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190214001216 FL Practitioner - Family PracticePractitioner - Hospitalist 4981977360 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2737MNMDProfessional Counselor
76960GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Pacs 2 Medical Group Inc CurrentSince Jun 26, 2023 Accepting new patients
Coral Springs Physician Services, LLC CurrentSince Apr 28, 2021 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Jun 26, 2023 Accepting new patients
Eastside Hospitalists Inc CurrentSince Jun 1, 2021 Accepting new patients
HHA Associates LLC CurrentSince Sep 1, 2021 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Apr 28, 2021 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 8

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1548705239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428035",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2336 Dawson Rd",
            "address_2": "Suite 2200",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317072800",
            "country_code": "US",
            "telephone_number": "229-312-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "GARY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "76960",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.