Clayton Medical Surgical

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CLAYTON MEDICAL SURGICAL

Doing business as

Clayton Minor Emergency Center

Practice address

6911 Tara Blvd # a
Jonesboro, GA 30236-1503

Phone

(770) 477-8573

Fax

(770) 477-9045

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By 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. Ramon R Marquez, M.D.NPI 1023135134

Title

Medical Director

Phone

(770) 477-8573

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CLAYTON MINOR EMERGENCY CENTER Doing business as

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.

• Ramon R Marquez, MD

  • General Practice Physician
  • Jonesboro, GA
  • NPI 1023135134
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558488163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 TARA BLVD # A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361503",
            "telephone_number": "770-477-8573",
            "fax_number": "770-477-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TARA BLVD # A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361503",
            "telephone_number": "770-477-8573",
            "fax_number": "770-477-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON MEDICAL SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-477-8573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "290529",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAYTON MINOR EMERGENCY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clayton Community Service Board
• Clayton County Board of Commissioners
• Clayton County Health District
• Clayton County Public Schools Dba Worktec
• Clayton Healthcare, P.C.
• Clayton Mhddad (Clayton CSB)
• Clayton Mhddad (Clayton Center CSB)
• Clayton Mhddad (Clayton CSB)
• Clayton Mhddad (Clayton CSB)
• Clayton Mhddad (Clayton CSB)

• Urgent Care Clinic/Center in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Urgent Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.