Individual provider Active NPI

Clifton L Peay Jr., MD

  • Specialist
  • Mechanicsville, VA
National Provider Identifier
1821154089
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101037406 Issued in VA
Practice address
8266 Atlee Rd
Suite 224
Mechanicsville, VA 23116-1804
Phone
(804) 559-7002
Fax
(804) 559-1921
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101037406 VA Primary

Addresses

Primary practice location

8266 Atlee Rd
Suite 224
Mechanicsville, VA 23116-1804

Mailing address

PO Box 4484
Richmond, VA 23220-4484
Phone (804) 559-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080321000215 VA Practitioner - Ophthalmology 3072503994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2002 Bremo Rd
Suite 200
Richmond, VA 23226-2441

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101037406VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton L Peay, M.D.PC Specialist CurrentSince Apr 10, 1985 Accepting new patients
Eye Surgeons of Richmond, Inc. Past Accepting new patients

Locations

7493 Right Flank Rd
Ste 420
Mechanicsvlle, VA 23116
Phone (804) 237-1717

8266 Atlee Rd
Ste 224
Mechanicsvlle, VA 23116
Phone (804) 454-7240

2002 Bremo Rd
Ste 200
Richmond, VA 23226
Phone (804) 484-6310

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AICDBD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1821154089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4484",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204484",
            "telephone_number": "804-559-7002",
            "fax_number": "804-559-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8266 ATLEE RD",
            "address_2": "SUITE 224",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161804",
            "telephone_number": "804-559-7002",
            "fax_number": "804-559-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAY",
        "first_name": "CLIFTON",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101037406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.