C. V. Clopton, Jr, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

043019 Issued in GA

Legal business name

C. V. CLOPTON, JR, MD, PC

Practice address

195 Fairview Rd
Ellenwood, GA 30294-2722

Phone

(770) 507-0112

Fax

(770) 507-9450

NPI assigned

Sep 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lisa B Green-Clopton, JD

Title

Cfo/ Business Manager

Phone

(770) 507-0112

Specialties & licenses 1

Addresses

Other names 1

• Clopton Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles V Clopton, Jr, M.D.

  • Family Medicine Physician
  • Ellenwood, GA
  • NPI 1770514440
  Medicare reassignment NPD

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699879965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90237",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303640237",
            "telephone_number": "770-507-0112",
            "fax_number": "770-507-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942722",
            "telephone_number": "770-507-0112",
            "fax_number": "770-507-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. V. CLOPTON, JR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN-CLOPTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO/ BUSINESS MANAGER",
        "authorized_official_telephone_number": "770-507-0112",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clopton Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleanor Louise Brown, LPC
• Joan Icilda Brown
• Latoya Sophia Brown, RBT
• Toya Butler, MA, SLP
• C. Louise LLC
• Claudine Caesar, FNP-BC
• Calming Aura Exceptional Living LLC
• Kenesha Campbell
• Careatc
• Shaquanna Carr

• Family Medicine Physician in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.