Active NPI
James W Clabby, M.D.
- Internal Medicine Physician
- Austell, GA
National Provider Identifier
1730158254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16042
- Practice address
- 3825 Medical Park Dr
Suite 201
Austell, GA 30106-6831 - Phone
- (770) 941-8100
- Fax
- (770) 948-0771
- NPI assigned
- Mar 16, 2006
- Last updated
- Feb 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16042 | GA | Primary |
Addresses
Primary practice location
3825 Medical Park Dr
Suite 201
Austell, GA 30106-6831
Mailing address
3825 Medical Park Dr
Suite 201
Austell, GA 30106-6831
Phone (770) 941-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16042 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| Georgia Internal Medicine Associates, P.a. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- jclabby26298@directwellstar.org
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Austell, GA
- NPI 1134151681
Internal Medicine
-
dba WellStar Internal Medicine GAIM
- Internal Medicine Physician
- Austell, GA
- NPI 1083917587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1730158254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 MEDICAL PARK DR",
"address_2": "SUITE 201",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066831",
"telephone_number": "770-941-8100",
"fax_number": "770-948-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 MEDICAL PARK DR",
"address_2": "SUITE 201",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066831",
"telephone_number": "770-941-8100",
"fax_number": "770-948-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLABBY",
"first_name": "JAMES",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "16042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.