NPIMap

Individual provider Active NPI

John Carl Clements, M.D.

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1881612364
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9700509 Issued in NC
Practice address
1225 Harding PL Ste 5100
Charlotte, NC 28204-2826
Phone
(704) 558-8503
NPI assigned
Jul 17, 2006
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9700509 NC Primary

Addresses

Primary practice location

1225 Harding PL Ste 5100
Charlotte, NC 28204-2826

Mailing address

1225 Harding Place
Suite 5100
Charlotte, NC 28204
Phone (704) 355-8850

Other identifiers 2

IdentifierTypeStateIssuer
2238519AOtherPTAN
891050TMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.clements.1@4693.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000793 NC Practitioner - Gastroenterology 6204930712 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Ohio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

1225 Harding PL
Charlotte, NC 28204-2826
Phone (704) 355-8850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy91
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700509NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Aug 19, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 2, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Atrium Health Specialty Network Inc Gastroenterology CurrentSince Sep 2, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc Gastroenterology CurrentSince Sep 2, 2025 Accepting new patients
DLP Frye Medical Group, LLC Gastroenterology CurrentSince Aug 19, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Sep 2, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Gastroenterology CurrentSince Sep 2, 2025 Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients
Carolinas Physicians Network Inc Past Accepting new patients

Locations

101 E Wt Harris Blvd
Ste 3215
Charlotte, NC 28262
Phone 70437279742165

1025 Morehead Medical Dr
Fl 3
Charlotte, NC 28204
Phone (704) 355-4593

1225 Harding Pl
Charlotte, NC 28204
Phone (704) 355-8686

1225 Harding Pl
Ste 5100
Charlotte, NC 28204
Phone (704) 355-8850

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

705 Griffith St
Ste 205
Davidson, NC 28036
Phone (704) 799-2750

1771 Tate Blvd SE
Ste 101
Hickory, NC 28602
Phone (828) 304-2527

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

16455 Statesville Rd
Ste 200
Huntersville, NC 28078
Phone (704) 302-8600

Interoperability endpoints

  • Direct secure messaging: jclements3026853@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: john.clements.1@4693.direct.athenahealth.com

Organizations & group practices 11

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 9

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1881612364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HARDING PLACE",
            "address_2": "SUITE 5100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-355-8850",
            "fax_number": "704-355-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HARDING PL STE 5100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042826",
            "telephone_number": "704-558-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JOHN",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "9700509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2238519A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891050T",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.clements.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "106 Alexander Bank Dr Ste 200",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.