Individual provider Active NPI

Allison Cecilia Clay, FNP

  • Family Nurse Practitioner
  • Taylorsville, NC
National Provider Identifier
1689230237
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
WD02M8 Issued in NC
Practice address
1668 NC Highway 16 S
Taylorsville, NC 28681-6285
Phone
(828) 632-9736
Fax
(828) 632-9544
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01190970 MS
Family Nurse Practitioner 363LF0000X WD02M8 NC Primary

Addresses

Primary practice location

1668 NC Highway 16 S
Taylorsville, NC 28681-6285

Mailing address

PO Box 896199
Charlotte, NC 28289-6199
Phone (833) 936-1364

Other practice location 1

2734 21st St NE
Hickory, NC 28601-7976
Phone (601) 622-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322000382 NC Practitioner - Nurse Practitioner 7113334046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

1668 NC Hwy 16 S
Taylorsville, NC 28681-6285
Phone (828) 632-9736

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01190970MSMDFamily Nurse Practitioner
WD02M8NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC CurrentSince Apr 5, 2021 Accepting new patients
Iredell Physician Network LLC CurrentSince Apr 5, 2021 Accepting new patients
Iredell Physician Network, LLC Past Accepting new patients
Iredell Physician Network LLC Family Medicine Past Accepting new patients

Locations

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736

Interoperability endpoints

  • Direct secure messaging: allison.clay@iredell.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1689230237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896199",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896199",
            "telephone_number": "833-936-1364",
            "fax_number": "605-942-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 NC HIGHWAY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816285",
            "telephone_number": "828-632-9736",
            "fax_number": "828-632-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2734 21st St NE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286017976",
            "country_code": "US",
            "telephone_number": "601-622-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "ALLISON",
        "middle_name": "CECILIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F01190970",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "WD02M8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

Verify at the official NPI Registry.