Clifton Lee Quinn Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103099 Issued in NC

Practice address

3121 Moseley Dr
Greenville, NC 27858-4245

Phone

(252) 758-4455

Fax

(252) 758-6742

NPI assigned

Dec 28, 2005

Sex

Male

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

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

Specialty

Physician Assistant

Education

Brody School of Medicine at East Carolina University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenville Health Care PAGroup PAC ID 3173892841, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHIGDD

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.

• Greenville Health Care PA

  • General Practice Physician
  • Greenville, NC
  • NPI 1700323557
  Medicare reassignment Care Compare group
• Hope Regional Medical Clinic

  • Family Medicine Physician
  • Warrenton, NC
  • NPI 1710448006
  Medicare reassignment
• Hookerton Family Practice, PA

  • Family Medicine Physician
  • Hookerton, NC
  • NPI 1245275221
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1700863073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3586",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278361586",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 MOSELEY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584245",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "CLIFTON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny W Qualliotine, DDS
• Quasar Family Medicine North Carolina PLLC
• Emmanuelle Quenum, MCHES, NBC-HWC
• Ashley Wercholuk Quinn, MD
• Casey David Quinn, DO
• Elizabeth Casey Quinn
• Kimberly Paige Quinn, PA
• Frank Ancheta Quinto Jr., NP
• Ximena Quiroz, MD
• Arman Qureshi, DO

• Medical Physician Assistant in Greenville, NC
• Providers in Greenville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.