Organization Active NPI

Slayton's Corner Clinic & Infusion PLLC

  • Family Nurse Practitioner
  • Milan, TN
National Provider Identifier
1629648688
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SLAYTON'S CORNER CLINIC & INFUSION PLLC
Practice address
1104 W Van Hook St
Milan, TN 38358-2637
Phone
(731) 238-2338
Fax
(731) 238-2338
NPI assigned
Jun 30, 2021
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Dr. Ruth Ann Slayton, DNP-BC
Title
Owner
Phone
(731) 238-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1104 W Van Hook St
Milan, TN 38358-2637

Mailing address

1104 W Van Hook St
Milan, TN 38358-2637
Phone (731) 238-2338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727002801 TN Part B Supplier - Clinic/Group Practice 8224431309 Receives reassigned benefits from 1 practitioner
Practice locations: Milan, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2229234Slayton's Corner Clinic & Infusion, PLLC1104 W Van Hook Street, Milan, TN 38358Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

1104 W Van Hook St
Milan, TN 38358
Phone (731) 238-2338

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1629648688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W VAN HOOK ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383582637",
            "telephone_number": "731-238-2338",
            "fax_number": "731-238-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W VAN HOOK ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383582637",
            "telephone_number": "731-238-2338",
            "fax_number": "731-238-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAYTON'S CORNER CLINIC & INFUSION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "SLAYTON",
        "authorized_official_first_name": "RUTH ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-238-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

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

Verify at the official NPI Registry.