JAMES CLAYTON
NPI 1346929536
Nurse Practitioner - Family in Lawrenceburg, TN

Active since July 14, 2023PECOS Enrolled
129 N LOCUST AVE, LAWRENCEBURG, TN 38464(931) 762-7232 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Clayton NPPES

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

JAMES CLAYTON (NPI 1346929536) is an individual family provider in Lawrenceburg, Tennessee, licensed in Tennessee (APN0000033647) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346929536
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES CLAYTON
Location Address129 N LOCUST AVELawrenceburg, TN 38464-3757
Mailing Address1702 Gordon LnLawrenceburg, TN 38464-3044
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1346929536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000033647
129 N LOCUST AVE, Lawrenceburg, TN 38464

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Clayton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072973916
PECOS Enrollment IDI20230724002577
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

3

Medicare enrollment records show James Clayton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
Hospitalist
4323 CAROTHERS PKWY STE 205
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group
General Practice
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Tennessee enrollment
  • 146 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services13 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38464 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Nurse Practitioner (Family)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Social Worker (Clinical)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Nurse Practitioner (Family)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464

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 James Clayton's NPI number?

The NPI number for James Clayton is 1346929536. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is James Clayton located?

James Clayton practices at 129 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-7232.

What is James Clayton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Clayton enrolled in Medicare?

Yes. James Clayton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Clayton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Clayton reassigns Medicare benefits to 3 organizations: Fast Pace Medical Clinic PLLC (Spring Hill, TN), Williamson Hospitalist Program (Franklin, TN) and Apogee Medical Group Tennessee PC (Scottsdale, AZ). 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 James Clayton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Clayton accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list James Clayton 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 James Clayton affiliated with any hospitals?

According to CMS data, James Clayton is affiliated with Williamson Medical Center and Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for James Clayton was last updated on July 14, 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.