Active NPI
Maurice Clifton, MD
- Adolescent Medicine (Internal Medicine) Physician
- Macon, GA
National Provider Identifier
1891767448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 061053
- Practice address
- 1550 College St
Macon, GA 31207-1500 - Phone
- (478) 301-2542
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | 061053 | GA | Primary |
Addresses
Primary practice location
1550 College St
Macon, GA 31207-1500
Mailing address
1550 College St
Macon, GA 31207-1500
Phone (478) 301-2542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001779460 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061053 | GA | MD | Adolescent Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1891767448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 COLLEGE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312071500",
"telephone_number": "478-301-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 COLLEGE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312071500",
"telephone_number": "478-301-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "MAURICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "GA",
"license": "061053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001779460",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.