Active NPI
James Constantine Clements, PA-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1558828657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9134
- Practice address
- 3240 N E Expy NE
Atlanta, GA 30341-4003 - Phone
- (404) 408-9330
- NPI assigned
- Feb 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9134 | GA | Primary |
Addresses
Primary practice location
3240 N E Expy NE
Atlanta, GA 30341-4003
Mailing address
2813 Fontainebleau Dr
Atlanta, GA 30360-1213
Phone (678) 925-5654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9134 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1558828657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 FONTAINEBLEAU DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303601213",
"telephone_number": "678-925-5654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 N E EXPY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303414003",
"telephone_number": "404-408-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "JAMES",
"middle_name": "CONSTANTINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.