Clayton Jefferson Pete Wilkerson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17220 Issued in TX

Practice address

8525 9TH Ave
Port Arthur, TX 77642-8023

Phone

(409) 729-2262

NPI assigned

Oct 2, 2023

Last updated

Apr 17, 2026By 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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victoria Dermatology PAGroup PAC ID 7618347758, 4 clinicians

Corium Ventures PLLCGroup PAC ID 9234498304, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Corium Ventures PLLC

  dba Southeast Texas Dermatology

  • Dermatology Physician
  • Port Arthur, TX
  • NPI 1770098261
  Medicare reassignment Care Compare group NPD
• Victoria Dermatology, PA

  • Dermatology Physician
  • Victoria, TX
  • NPI 1316654221
  Medicare reassignment Care Compare group NPD
• Central Texas Dermatology, PA

  • Specialist
  • West Lake Hills, TX
  • NPI 1164566246
  NPD
• Dallas Endovascular PLLC

  dba Texas Endovascular Associates

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
  • NPI 1972221166
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1952181612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428023",
            "telephone_number": "409-729-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CLAYTON",
        "middle_name": "JEFFERSON PETE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Ronald Walters, MD
• Tyneshia Watson
• Stephen C Weatherford, MD
• Deborah Kay Webb-Johnson, LPC, NCC
• Robert E Wiggins Jr., DDS
• William D. George, MD
• Anthony Kirk Williams, MD
• Crystal Anai Williams, LPC-A
• Jules Williams Jr.
• Tracy Lane Williams, M.A.,LPC

• Physician Assistant in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.