Active NPI
Clifton W. Straughn, M.D., P.a.
- Family Medicine Physician
- Anderson, SC
National Provider Identifier
1760714927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11587
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2619 | Medicaid | SC |
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.