Organization Active NPI

J Clayton Spine and Health LLC

  • Family Nurse Practitioner
  • Greensburg, IN
National Provider Identifier
1801594155
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
J CLAYTON SPINE AND HEALTH LLC
Practice address
905 W Keegans Way Ste 7
Greensburg, IN 47240-3403
Phone
(812) 663-7640
Fax
(812) 662-6356
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. James C. Galyen, DCNPI 1154480440
Title
Owner
Phone
(812) 528-9380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Internal Medicine Physician 207R00000X NU
Physical Therapist 225100000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

905 W Keegans Way Ste 7
Greensburg, IN 47240-3403

Mailing address

905 W Keegans Way Ste 7
Greensburg, IN 47240-3403
Phone (812) 663-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516001078 IN Part B Supplier - Clinic/Group Practice 7517323611 Receives reassigned benefits from 10 practitioners
Practice locations: Greensburg, IN; Seymour, IN

National Provider Directory

National Provider Directory

Locations

905 W Keegans Way
Ste 7
Greensburg, IN 47240
Phone (812) 519-2963

1725 E Tipton St
Seymour, IN 47274
Phone (812) 519-2963

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1801594155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W KEEGANS WAY STE 7",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472403403",
            "telephone_number": "812-663-7640",
            "fax_number": "812-662-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W KEEGANS WAY STE 7",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472403403",
            "telephone_number": "812-663-7640",
            "fax_number": "812-662-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CLAYTON SPINE AND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "GALYEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-528-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.