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CLINTON X-RAY ASSOCIATES, PA
NPI 1174521330
Radiology - Diagnostic Radiology in Clinton, NC

Active since July 12, 2005
409 COOPER DR, CLINTON, NC 28328(910) 592-8070(910) 592-8549 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Clinton X-ray Associates, Pa NPPES

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

CLINTON X-RAY ASSOCIATES, PA (NPI 1174521330) is a healthcare organization registered as a diagnostic radiology in Clinton, North Carolina and active in the NPI registry since July 2005. The organization lists Gordon Roberts Mcdevitt, President, as its authorized official.

NPPES Registry Identity

NPI1174521330
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCLINTON X-RAY ASSOCIATES, PA
Location Address409 COOPER DRClinton, NC 28328-2817
Mailing AddressPo Box 619Clinton, NC 28329-0619 · (910) 592-8070
Phone(910) 592-8070
Fax(910) 592-8549
Organization SubpartNo
Authorized OfficialGordon Roberts McdevittPresident · (910) 592-8070
Enumeration DateJuly 12, 2005
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1174521330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
409 COOPER DR, Clinton, NC 28328
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Other Identifiers 2

Medicaid890122GNC
Other0122GNC · Bcbs Of Nc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton X-ray Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinton X-Ray Associates, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gordon Mcdevitt, MD
Diagnostic Radiology
NPI 1073511234
409C COOPER DR
Clinton, NC 28328
(910) 592-8070
✔ PECOS✔ Accepts MedicareSame address

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

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 Clinton X-Ray Associates, PA's NPI number?

The NPI number for Clinton X-Ray Associates, PA is 1174521330. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Clinton X-Ray Associates, PA located?

Clinton X-Ray Associates, PA is located at 409 Cooper Dr, Clinton, NC 28328. The listed phone number is (910) 592-8070.

What is Clinton X-Ray Associates, PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Clinton X-Ray Associates, PA enrolled in Medicare?

Yes. Clinton X-Ray Associates, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinton X-Ray Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Clinton X-Ray Associates, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinton X-Ray Associates, PA was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.