Clayton County Board of Commissioners

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CLAYTON COUNTY BOARD OF COMMISSIONERS

Practice address

7810 Highway 85
Riverdale, GA 30274-3920

Phone

(770) 473-3831

Fax

(770) 473-3837

NPI assigned

Sep 8, 2016

Last updated

Mar 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Landry Doyle Merkison

Title

Fire Chief / EMS Director

Phone

(770) 473-3831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1952858821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SMITH ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363539",
            "telephone_number": "770-473-3831",
            "fax_number": "770-473-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 HIGHWAY 85",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743920",
            "telephone_number": "770-473-3831",
            "fax_number": "770-473-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON COUNTY BOARD OF COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MERKISON",
        "authorized_official_first_name": "LANDRY",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "FIRE CHIEF / EMS DIRECTOR",
        "authorized_official_telephone_number": "770-473-3831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clayton Medical Supply Inc
• Clayton Mhddad (Clayton Center CSB)
• Clayton Mhddad (Clayton CSB)
• Kathryn Rose Clayton, MD

• Nurse Practitioner in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.