Individual provider Active NPI

Charles Lamar Clayton, CRNA

  • Certified Registered Nurse Anesthetist
  • Tallahassee, FL
National Provider Identifier
1609848894
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP1859402 Issued in FL
Practice address
1848 Vineland LN
Tallahassee, FL 32317-7924
Phone
(850) 519-1113
Fax
(850) 656-5549
NPI assigned
Feb 2, 2006
Last updated
Feb 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP1859402 FL Primary

Addresses

Primary practice location

1848 Vineland LN
Tallahassee, FL 32317-7924

Mailing address

1848 Vineland LN
Tallahassee, FL 32317-7924
Phone (850) 519-1113

Other identifiers 3

IdentifierTypeStateIssuer
P00352522OtherFLRAILROAD MEDICARE
G0150OtherFLBLUE CROSS
305526400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000683 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668487034 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP1859402FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Jan 1, 2026 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients
Fleming Island Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2023 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2025 Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Isaac Moore MD Past Accepting new patients
Alpha Ambulatory Surgery Inc. Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

6201 N Suncoast Blvd
#Seven
Crystal River, FL 34428
Phone (352) 795-4008

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

3621 E Forest Dr
Inverness, FL 34453
Phone (352) 563-2450

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1609848894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 VINELAND LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177924",
            "telephone_number": "850-519-1113",
            "fax_number": "850-656-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 VINELAND LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323177924",
            "telephone_number": "850-519-1113",
            "fax_number": "850-656-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "CHARLES",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1859402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00352522",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G0150",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305526400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.