Active NPI
Charles Lamar Clayton, CRNA
- Certified Registered Nurse Anesthetist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1859402
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00352522 | Other | FL | RAILROAD MEDICARE |
| G0150 | Other | FL | BLUE CROSS |
| 305526400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1859402 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ironcrest Anesthesia LLC | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | 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.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1528616810
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1346212669
-
- Ophthalmologic Surgery Clinic/Center
- Tallahassee, FL
- NPI 1487642195
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1104879816
Nurse Anesthetist, Certified Registered
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.