Organization Active NPI

Clifton Care Inc

  • Family Medicine Physician
  • Boaz, AL
National Provider Identifier
1972998540
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25564 Issued in AL
Legal business name
CLIFTON CARE INC
Practice address
122 N Snead St
Boaz, AL 35957-1763
Phone
(256) 840-5800
Fax
(256) 840-5600
NPI assigned
Apr 1, 2015
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Dr. Angela Clifton, MDNPI 1124059399
Title
Physician/Owner
Phone
(256) 840-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25564 AL Primary

Addresses

Primary practice location

122 N Snead St
Boaz, AL 35957-1763

Mailing address

PO Box 720
Boaz, AL 35957-0720
Phone (256) 840-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170407001840 AL Part B Supplier - Clinic/Group Practice 7719263656 Receives reassigned benefits from 4 practitioners
Practice locations: Boaz, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2127084Clifton Care Inc122 N Snead Street, Boaz, AL 35957Certificate of waiverMar 8, 2027
01D2129107MMC Lab at Clifton Care Inc122 North Snead Street, Boaz, AL 35957AccreditationAug 1, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDJAD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1972998540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570720",
            "telephone_number": "256-840-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N SNEAD ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571763",
            "telephone_number": "256-840-5800",
            "fax_number": "256-840-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "256-840-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.