Clayton Anderson, PA-C
Individual provider Active NPI Physician Assistant · Indianapolis, IN
NPI 1700503554 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1700503554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10003979A (IN)
- Practice address
- 8402 Harcourt Rd Ste 125
Indianapolis, IN 46260-2094 - Phone
- (317) 802-2000
- Fax
- (317) 802-2050
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Regional Health Systems Inc
Southern Indiana Orthopedics Inc
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1248
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000
3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone (863) 603-6565
4665 N US Hwy 31
Columbus, IN 47201-8558
Phone (812) 376-9353
Attn Managed Care
1324 Lakeland HLLS Blvd
Lakeland, FL 33805-4543
Hospital & facility affiliations
- Lakeland Regional Medical Center
- Columbus Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230413000795 | IN | Practitioner - Physician Assistant | 5496120099 | Reassigns benefits to 1 organization |
| I20250710004088 | FL | Practitioner - Physician Assistant | 5496120099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- canderson56435@lrhs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003979A | IN | Yes |
Addresses
Primary practice location
8402 Harcourt Rd Ste 125
Indianapolis, IN 46260-2094
Mailing address
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Other providers in Indianapolis, IN
- Chelbie Anderson
- Chelsea Lynn Anderson
- Christopher Alan Anderson
- Chrystal Lynn Anderson
- Claude Anderson
- Cynthia L Anderson
- David Allen Anderson
- Dean Anderson
- Deborah L. Anderson
- Delfield Anderson
All providers in Indianapolis, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.