Active NPI
Tammy D Clayton, PA-C
- Physician Assistant
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA529
- Practice address
- 444 S Main St
Madisonville, KY 42431-2871 - Phone
- (270) 821-4444
- Fax
- (270) 821-9188
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- 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 | PA529 | KY | Primary |
Addresses
Primary practice location
444 S Main St
Madisonville, KY 42431-2871
Mailing address
444 S Main St
Madisonville, KY 42431-2871
Phone (270) 821-4444
Other practice location 1
510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9500114500 | Medicaid | KY | |
| 000000475416 | Other | KY | BCBS # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tclayton4757@direct.owensborohealth.org | ||
| Direct Messaging Address | tclayton4757@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040419000408 | KY | Practitioner - Physician Assistant | 3173518206 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
Locations
510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757
444 S Main St
Madisonville, KY 42431
Phone (270) 821-4444
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Physician Assistant
-
- Clinical Medical Laboratory
- Madisonville, KY
- NPI 1043343536
-
- Rural Health Clinic/Center
- Beaver Dam, KY
- NPI 1194161984
-
- Clinical Medical Laboratory
- Henderson, KY
- NPI 1609374693
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Urology Physician
- Greenville, KY
- NPI 1295197507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
2211 Mayfair Dr
Owensboro, KY 42301-4569
510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Regional Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1629039201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 S MAIN ST",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312871",
"telephone_number": "270-821-4444",
"fax_number": "270-821-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S MAIN ST",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424312871",
"telephone_number": "270-821-4444",
"fax_number": "270-821-9188"
}
],
"practiceLocations": [
{
"address_1": "510 Ruby Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424312168",
"country_code": "US",
"telephone_number": "270-399-7900",
"fax_number": "270-399-7910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAYTON",
"first_name": "TAMMY",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9500114500",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "000000475416",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tclayton4757@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "444 S Main St",
"city": "Madisonville",
"state": "KY",
"country_code": "US",
"postal_code": "424312871",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tclayton4757@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "510 Ruby Dr",
"city": "Madisonville",
"state": "KY",
"country_code": "US",
"postal_code": "424312168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.