Individual provider Active NPI

Chelsea Marley Clinton, M.D.

  • Maternal & Fetal Medicine Physician
  • Durham, NC
National Provider Identifier
1720354905
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
59178 Issued in TN
Practice address
2608 Erwin Rd Ste 200
Durham, NC 27705
Phone
(919) 684-6327
NPI assigned
Apr 1, 2012
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 59178 TN
Maternal & Fetal Medicine Physician 207VM0101X 52222 KY
Maternal & Fetal Medicine Physician 207VM0101X 2016-01346 NC
Maternal & Fetal Medicine Physician 207VM0101X 59178 TN Primary

Addresses

Primary practice location

2608 Erwin Rd Ste 200
Durham, NC 27705

Mailing address

2608 Erwin Rd Ste 200
Durham, NC 27705-4597

Other practice location 1

1330 1st Ave
Apt 708
New York, NY 10021-4742
Phone (734) 223-6103

Other practice location 2

1301 Pleasant Valley Rd Ste 301
Owensboro, KY 42303-9774
Phone (270) 417-7720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cclinton124898@direct.owensborohealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211123003261 KY Practitioner - Obstetrics/Gynecology 9335432236 Reassigns benefits to 1 organization
I20211124000983 TN Practitioner - Obstetrics/Gynecology 9335432236 Reassigns benefits to 2 organizations
I20260414001220 TX Practitioner - Obstetrics/Gynecology 9335432236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Medical Group, LLCGroup PAC ID 6204069602, 68 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Suite 505
Franklin, TN 37067-5920
Phone (615) 435-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Single Specialty Current Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Feb 6, 2024 Accepting new patients
Williamson Medical Group, LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. Maternal & Fetal Medicine CurrentSince Feb 6, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. Single Specialty PastSince Jul 1, 2016 Accepting new patients

Locations

1301 Pleasant Valley Rd
Ste 300
Owensboro, KY 42303
Phone (270) 417-7700

1301 Pleasant Valley Rd
Ste 301
Owensboro, KY 42303
Phone (270) 417-7720

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

4323 Carothers Pkwy
Ste 505
Franklin, TN 37067
Phone (615) 435-7780

Interoperability endpoints

  • Direct secure messaging: chelseaclinton@wmc.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1720354905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ERWIN RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ERWIN RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-684-6327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 1st Ave",
            "address_2": "Apt 708",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214742",
            "country_code": "US",
            "telephone_number": "734-223-6103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pleasant Valley Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039774",
            "country_code": "US",
            "telephone_number": "270-417-7720",
            "fax_number": "270-417-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "CHELSEA",
        "middle_name": "MARLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "59178",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "52222",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2016-01346",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "59178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cclinton124898@direct.owensborohealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cclinton124898@direct.owensborohealth.org",
            "address_1": "1301 Pleasant Valley Rd Ste 301",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.