Peggy Clayborne

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

09603294 Issued in MS

Practice address

219 Ford Ave
Jackson, MS 39209-3322

Phone

(662) 299-7236

NPI assigned

Mar 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ava Seniors Academy LLC

  • Home Health Agency
  • Jackson, MS
  • NPI 1720627599
  NPD Authorized official
• In-Home Respite by Alexander Vincent & Alexandria LLC

  • Respite Care
  • Jackson, MS
  • NPI 1184263956
  NPD Authorized official
• Alexander, Vincent & Alexandria LLC

  • Home Health Agency
  • Jackson, MS
  • NPI 1184165169
  NPD (past) Authorized official

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1689114233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 MCWILLIE DR",
            "address_2": "SUITE 105",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065628",
            "telephone_number": "769-524-4191",
            "fax_number": "769-524-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 FORD AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093322",
            "telephone_number": "662-299-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORNE",
        "first_name": "PEGGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MS",
            "license": "09603294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan McRae Clay, MD
• Jamie Reed Clay, D.M.D.
• Joseph Clay, D.C.
• Lauren Zvolanek Clay, MD
• Tammy Denise Clay
• Ahsia M Clayton
• Patricia Clayton, PCP
• Tiffany Clayton, ACNP-C
• Todd A Clayton, M.D.
• Wendy Clayton

• Personal Care Attendant in Jackson, MS
• Providers in Jackson, MS by specialty
• Personal Care Attendant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.