Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLAYTON HEARN DO
NPI 1124406152
Emergency Medicine in Lavonia, GA

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
367 CLEAR CREEK PKWY, LAVONIA, GA 30553(706) 356-7800 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Jul 9, 2026, Aug 26, 2016 (3 updates tracked since 2016).

About Clayton Hearn Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAYTON HEARN DO (NPI 1124406152) is an individual emergency medicine provider in Lavonia, Georgia, licensed in Georgia (78178) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Ty Cobb Regional Medical Center, Llc, and maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1124406152
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCLAYTON HEARNCredential: DO
Location Address367 CLEAR CREEK PKWYLavonia, GA 30553-4173
Mailing Address1601 Cummins Dr Ste DModesto, CA 95358-6411
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1124406152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 78178
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 37632 (SC), 78178 (GA)
Also ListedHospitalistTaxonomy 208M00000X · License 78178 (GA)
367 CLEAR CREEK PKWY, Lavonia, GA 30553

Secondary Practice Location 1

Location 1155 Academy AveGreenwood, SC 29646-3869 · Phone (864) 725-4869

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clayton Hearn Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648563916
PECOS Enrollment IDI20181126003457
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Clayton Hearn reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Emergency Medicine
367 CLEAR CREEK PKWY
Lavonia, GA 30553
  • Reassigned Medicare billing, Georgia enrollment
  • 128 clinicians in this Medicare group
Hospitalist
367 CLEAR CREEK PKWY
Lavonia, GA 30553
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Family Medicine
167 GREENWOOD AVE S
Ware Shoals, SC 29692
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
Multi-Specialty
2575 PEACHTREE PKWY STE 250
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
Emergency Medicine
3303 S MERIDIAN AVE
Oklahoma City, OK 73119
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Physical Therapist
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Family Medicine
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Anesthesiology
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Hospitalist
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Nurse Practitioner (Family)
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
Physical Therapist
367 CLEAR CREEK PKWY
LAVONIA, GA 30553
General Acute Care Hospital (Rural)
367 CLEAR CREEK PKWY
LAVONIA, GA 30553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clayton Hearn's NPI number?

The NPI number for Clayton Hearn is 1124406152. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Clayton Hearn located?

Clayton Hearn practices at 367 Clear Creek Pkwy, Lavonia, GA 30553. The listed phone number is (706) 356-7800.

What is Clayton Hearn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Clayton Hearn enrolled in Medicare?

Yes. Clayton Hearn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clayton Hearn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Hearn reassigns Medicare benefits to 6 organizations: Cep America LLC (Lavonia, GA), Vituity-Georgia Hospitalists PC (Lavonia, GA), Self Medical Group (Ware Shoals, SC), Healogics Specialty Physicians Of Georgia, LLC (Cumming, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clayton Hearn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Hearn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Oscar Health list Clayton Hearn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Clayton Hearn affiliated with any hospitals?

According to CMS data, Clayton Hearn is affiliated with Ty Cobb Regional Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Clayton Hearn was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.