Active NPI
George H Clayton, D.D.S., F.A.C.P.
- Prosthodontics
- Brentwood, TN
National Provider Identifier
1740222777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS0000004847
- Practice address
- 1177 Old Hickory Blvd
Suite 102
Brentwood, TN 37027-4223 - Phone
- (615) 690-5400
- Fax
- (615) 690-5404
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS0000004847 | TN | Primary |
Addresses
Primary practice location
1177 Old Hickory Blvd
Suite 102
Brentwood, TN 37027-4223
Mailing address
1177 Old Hickory Blvd
Suite 102
Brentwood, TN 37027-4223
Phone (615) 690-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 975008 | Other | TN | UNITED CONCORDIA ID NUMBE |
| 3094291 | Other | TN | BCBS PROVIDER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160205000884 | TN | Order and Referring Only - Other (Physician) | 2365746708 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000004847 | TN | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Tennessee Prosthodontics, LLC | Prosthodontics | Past | Accepting new patients |
| Tennessee Sleep Apnea Solutions, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Prosthodontics
- Brentwood, TN
- NPI 1326832429
-
- Dental Clinic/Center
- Brentwood, TN
- NPI 1902636855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1740222777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 OLD HICKORY BLVD",
"address_2": "SUITE 102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274223",
"telephone_number": "615-690-5400",
"fax_number": "615-690-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 OLD HICKORY BLVD",
"address_2": "SUITE 102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274223",
"telephone_number": "615-690-5400",
"fax_number": "615-690-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "GEORGE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S., F.A.C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TN",
"license": "DS0000004847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID NUMBE",
"identifier": "975008",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID NUMBER",
"identifier": "3094291",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.