Active NPI
Charles V Clopton, Jr, M.D.
- Family Medicine Physician
- Ellenwood, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 043019
- Practice address
- 195 Fairview Rd
Ellenwood, GA 30294-2722 - Phone
- (770) 507-0112
- NPI assigned
- Jul 5, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 043019 | GA | Primary |
Addresses
Primary practice location
195 Fairview Rd
Ellenwood, GA 30294-2722
Mailing address
2611 N Clark Dr
East Point, GA 30344-2342
Phone (404) 766-7518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700
7454 Hannover Pkwy S
Suite 120
Stockbridge, GA 30281-6835
Phone (678) 641-6791
Hospital & facility affiliations
- Piedmont Henry Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043019 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anemonefish Inpatient Services LLC | Current | Accepting new patients | |
| Camp Creek Primary Care, PC | Family Medicine | Current | Accepting new patients |
| C. V. Clopton, Jr, MD, PC | Family Medicine | Current | Accepting new patients |
| Clayton Healthcare, P.C. | Past | Accepting new patients |
Locations
3890 Redwine Rd SW
Ste 100
Atlanta, GA 30331
Phone (404) 344-0059
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
195 Fairview Rd
Ellenwood, GA 30294
Phone (770) 507-0112
7454 Hannover Pkwy S
Ste 120
Stockbridge, GA 30281
Phone (678) 641-6791
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Athens, GA
- NPI 1508378613
-
- Internal Medicine Physician
- Covington, GA
- NPI 1033514716
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1699879965
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1861503906
-
- Internal Medicine Physician
- Jonesboro, GA
- NPI 1265463277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1770514440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 N CLARK DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303442342",
"telephone_number": "404-766-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 FAIRVIEW RD",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942722",
"telephone_number": "770-507-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOPTON, JR",
"first_name": "CHARLES",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "043019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.