Clear Medical Concepts LLC

Primary specialty

Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X

License

PA004496 Issued in GA

Legal business name

CLEAR MEDICAL CONCEPTS LLC

Practice address

526 Forest Pkwy
Suite K
Forest Park, GA 30297-6140

Phone

(770) 545-2052

NPI assigned

Mar 17, 2014

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrevius Jefferson, PA-CNPI 1801857941

Title

Chief of Operations

Phone

(770) 545-2052

Specialties & licenses 3

Addresses

Locations

Practitioners 3

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.

• Andrevius T Jefferson, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1801857941
  NPD Authorized official
• Kevin Ladarius Washington Sr., MD

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1306037486
  NPD
• Melville Devo Christie, NP

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1801963368
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1841616653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 FOREST PKWY STE K",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976140",
            "telephone_number": "770-545-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 FOREST PKWY",
            "address_2": "SUITE K",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976140",
            "telephone_number": "770-545-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MEDICAL CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ANDREVIUS",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "770-545-2052",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "GA",
            "license": "PA004496",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "GA",
            "license": "62629",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "61157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christians Pharmacy Inc (Christians Pharmacy)
• City of Forest Park
• Clayton Mhddad (Clayton Center CSB)
• Clayton Mhddad (Clayton Center CSB)
• Clayton Mhddad (Clayton CSB)
• Nancy Elizabeth Clines, MD
• Clinica Agave Clinic
• Cloud Healthcare & Wellness Services
• Loren K Colon, D.P.M.
• Marieli A Colon, D.P.M.

• Intermediate Emergency Medical Technician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Intermediate Emergency Medical Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.