CLAYTON INTERNAL MEDICINE PC (NPI# 1366658833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366658833 |
| Entity Type | Organization |
| Organization Name | CLAYTON INTERNAL MEDICINE PC |
| Practice Address |
301 Amos St Clayton NC 27520-2644 |
| Mailing Address |
Po Box 997 Clayton NC 27528-0997 |
| Practice Telephone | 9195506336 |
| Practice Fax Number | 9195500180 |
| Mailing Telephone | 9195506336 |
| Mailing Fax Number | 9195500180 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | DR. MAZEN KHUSAYEM (PRESIDENT) |
| Authorized Official Telephone | 9195506336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
9900898 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89126XV | 05 |
| Street Address |
301 AMOS ST |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285604934 | Mazen Khusayem | Internal Medicine | 301 Amos St, Clayton, NC 27520-2644 | 2006-01-25 |
| 1730545500 | Alexa Carda | Physician Assistant | 301 Amos St, Clayton, NC 27520-2644 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1972983286 | Quintessential Wellness | Clinic/Center | 620 Nc Highway 42 W, Clayton, NC 27520-5803 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893734 | Blue Telepsych Urgent Care | Clinic/Center | 8406 Fiddlestick Way, Wilmington, NC 28412-3394 | 2020-08-28 |
| 1437771193 | Asheville Dermatology Professionals, PC | Clinic/Center | 900 Hendersonville Rd Ste 107, Asheville, NC 28803-1763 | 2020-05-15 |
| 1689210197 | Neogenix, PC | Clinic/Center | 16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782 | 2019-11-19 |
| 1255898094 | Old Well Medicine, Pllc | Clinic/Center | 1505 Sw Cary Pkwy Ste 302, Cary, NC 27511-6219 | 2019-02-28 |
| 1396252680 | Envolve Optical Inc | Clinic/Center | 112 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2018-01-08 |
| 1255877841 | Ray Mercado D.o.p.c | Clinic/Center | 1126 N Church St Ste 202, Greensboro, NC 27401-1035 | 2017-01-06 |
| 1548666878 | The Carolina Men's Clinic | Clinic/Center | 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544 | 2014-11-13 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1093125627 | American Respiratory Labs In Home LLC | Clinic/Center | 6075 Thristlebrook, Hickory, NC 28602-8264 | 2014-05-05 |
| 1457780553 | Carolina Center for Women | Clinic/Center | 421 N Wendover Rd, Charlotte, NC 28211-1064 | 2013-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.