Charles V Clopton Jr. (NPI# 1770514440, PAC ID# 7911989231) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770514440 |
| PAC ID by PECOS | 7911989231 |
| Professional Enrollment ID | I20040602000165 |
| Full Name | Charles V Clopton Jr. |
| Address |
195 Fairview Rd Ellenwood GA 30294-2722 |
| Gender | M |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110191 | PIEDMONT HENRY HOSPITAL |
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 195 Fairview Rd, Ellenwood, GA 30294-2722 |
| Street Address |
195 FAIRVIEW RD |
| City | ELLENWOOD |
| State | GA |
| Zip | 30294-2722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louanna Fericia Adams | Clinical Social Worker | 4204 Sweetwater Pkwy, Ellenwood, GA 30294-1554 | |
| Tamica Evelyn White | General Surgery | 4475 W Village Pkwy, Ellenwood, GA 30294-2634 | |
| Rose Kombe | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Jamal Dixon | Internal Medicine | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Latanya Weston | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| City | ELLENWOOD |
| Zip Code | 30294 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELLENWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles V Clopton Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.