Individual provider Active NPI

Clay Cutts, L.M.S.W.

  • Social Worker
  • Peachtree City, GA
National Provider Identifier
1760929954
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW006557 Issued in GA
Practice address
111 Petrol PT
Suite G
Peachtree City, GA 30269-1550
Phone
(678) 662-6424
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW006557 GA Primary

Addresses

Primary practice location

111 Petrol PT
Suite G
Peachtree City, GA 30269-1550

Mailing address

111 Petrol PT
Suite G
Peachtree City, GA 30269-1550
Phone (678) 662-6424

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW006557GAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1760929954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PETROL PT",
            "address_2": "SUITE G",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691550",
            "telephone_number": "678-662-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PETROL PT",
            "address_2": "SUITE G",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691550",
            "telephone_number": "678-662-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTS",
        "first_name": "CLAY",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW006557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.