Clemson Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CLEMSON NEUROLOGY

Practice address

220 Keowee TRL
Clemson, SC 29631-1448

Phone

(864) 653-4071

Fax

(864) 653-4074

NPI assigned

Nov 1, 2005

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca S Clark

Title

Office Manager

Phone

(864) 653-4071

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• George Timothy Baxley, MD

  • Neurology Physician
  • Clemson, SC
  • NPI 1023009701
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699766436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 KEOWEE TRL",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311448",
            "telephone_number": "864-653-4071",
            "fax_number": "864-653-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KEOWEE TRL",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311448",
            "telephone_number": "864-653-4071",
            "fax_number": "864-653-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-653-4071"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3805",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clemson Counseling Group, LLC
• Clemson Dental Associates, PA
• Clemson Eye, PA
• Clemson Free Clinic
• Clemson Health Center
• Clemson Psychiatry, Inc.
• Clemson Sports Medicine and Rehab
• Clemson Sports Medicine and Rehabilitation
• Clemson Sports Medicine and Rehabilitation Inc
• Clemson University (Redfern Health Center Pharmacy)

• Neurology Physician in Clemson, SC
• Providers in Clemson, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.