NPIMap

Individual provider Active NPI

Clayton McGill, MD

  • Emergency Medicine Physician
  • Kingsport, TN
National Provider Identifier
1871912048
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101261072 Issued in VA
Practice address
201 Cassell Dr
Kingsport, TN 37660-3747
Phone
(423) 245-9600
NPI assigned
Apr 15, 2014
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 0101261072 VA Primary

Addresses

Primary practice location

201 Cassell Dr
Kingsport, TN 37660-3747

Mailing address

2601 N John B Dennis Hwy Apt 1209
Kingsport, TN 37660-4792
Phone (202) 997-7039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171215002245 TN Practitioner - Family Practice 3678854957 Reassigns benefits to 2 organizations
I20251103004129 GA Practitioner - Emergency Medicine 3678854957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Sep 27, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 25, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Nov 1, 2025 Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 25, 2020 Accepting new patients

Locations

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

851 Locust St
Rogersville, TN 37857
Phone (423) 272-2671

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

98 15th St NW
Ste 203
Norton, VA 24273
Phone (276) 679-9002

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1871912048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N JOHN B DENNIS HWY APT 1209",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604792",
            "telephone_number": "202-997-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CASSELL DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603747",
            "telephone_number": "423-245-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101261072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.