Organization Active NPI

Clifton W. Straughn, M.D., P.a.

  • Family Medicine Physician
  • Anderson, SC
National Provider Identifier
1760714927
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11587 Issued in SC
Legal business name
CLIFTON W. STRAUGHN, M.D., P.A.
Practice address
301 E Greenville St
Anderson, SC 29621-5535
Phone
(864) 224-5689
Fax
(864) 225-2349
NPI assigned
Feb 12, 2010
Organization subpart
Yes
Parent organization
CLIFTON W. STRAUGHN, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Clifton Wade Straughn, M.D.
Title
President
Phone
(864) 224-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11587 SC Primary

Addresses

Primary practice location

301 E Greenville St
Anderson, SC 29621-5535

Mailing address

PO Box 2505
301 E. Greenville Street
Anderson, SC 29622-2505
Phone (864) 224-5689

Other identifiers 1

IdentifierTypeStateIssuer
GP2619MedicaidSC

National Provider Directory

National Provider Directory
Part of
Clifton Straughn

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760714927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "address_2": "301 E. GREENVILLE STREET",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296222505",
            "telephone_number": "864-224-5689",
            "fax_number": "864-225-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215535",
            "telephone_number": "864-224-5689",
            "fax_number": "864-225-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON W. STRAUGHN, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLIFTON W. STRAUGHN, M.D., P.A.",
        "enumeration_date": "2010-02-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STRAUGHN",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-224-5689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2619",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.