Individual provider Active NPI

James Emery Claytor, MD

  • Child & Adolescent Psychiatry Physician
  • Columbia, SC
National Provider Identifier
1558335281
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
SC017268 Issued in SC
Practice address
125 Alpine Circle
Columbia, SC 29223
Phone
(803) 779-3548
Fax
(803) 779-7055
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X SC017268 SC Primary

Addresses

Primary practice location

125 Alpine Circle
Columbia, SC 29223

Mailing address

125 Alpine Circle
Columbia, SC 29223
Phone (803) 779-3548

Other identifiers 2

IdentifierTypeStateIssuer
400186MedicaidSC
582296052001OtherBCBS PALMETTO HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20050503000756 SC Practitioner - Psychiatry 2264471853 Reassigns benefits to 2 organizations
Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians

Practice addresses (Care Compare)

2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-0123

400 Otarre Pkwy
Cayce, SC 29033-3751
Phone (803) 898-4566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17268SCMDSocial Worker
SC017268SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 30, 2018 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558335281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-779-3548",
            "fax_number": "803-779-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-779-3548",
            "fax_number": "803-779-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTOR",
        "first_name": "JAMES",
        "middle_name": "EMERY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "SC017268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400186",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PALMETTO HEALTH",
            "identifier": "582296052001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.