Jon Russell Clayton, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

104211 Issued in NC

Practice address

1 Medical Dr
Benson, NC 27504-1177

Phone

(919) 894-1740

Fax

(919) 894-2701

NPI assigned

May 21, 2007

Last updated

Oct 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.09 of 100Reported as group

Quality

65.78

Improvement activities

40

Cost

76.37

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788
  Medicare reassignment Care Compare group
• Eastern Carolina Ear Nose and Throat Associates PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Smithfield, NC
  • NPI 1831153402
  NPD (past)
• Evolve Medical Spa PLLC

  • Multi-Specialty Clinic/Center
  • Smithfield, NC
  • NPI 1194140129
  NPD (past)
• Fastmed Primary Care, P.C.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1912774423
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1871701847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275040839",
            "telephone_number": "919-894-1740",
            "fax_number": "919-894-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041177",
            "telephone_number": "919-894-1740",
            "fax_number": "919-894-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JON",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "104211",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlie C's of Benson, Inc. (Carlie C's Pharmacy #870)
• Carlies CS of Benson Inc
• Jade Reese Carpenter, PHARMD
• Central Medical Associates
• Neema Chandel, PA-C
• Connections Behavioral Health and Wellness, PLLC
• Rutina Corbin-Bailey, CPSS
• Crossroads Family Chiropractic
• Crossroads Wellness and Rehab, PA
• Davis Drug Company of Kenly, Inc. (Davis Drug Company)

• Physician Assistant in Benson, NC
• Providers in Benson, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.

Verify at the official NPI Registry.