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CLAYTON MOBILE DIAGNOSTIC CLINIC
NPI 1396742870
Podiatrist in Jonesboro, GA

Active since June 30, 2005
6911 TARA BLVD, JONESBORO, GA 30236(770) 477-9535(770) 471-7826 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Clayton Mobile Diagnostic Clinic NPPES

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

CLAYTON MOBILE DIAGNOSTIC CLINIC (NPI 1396742870) is a healthcare organization registered as a podiatrist in Jonesboro, Georgia and active in the NPI registry since June 2005. The organization lists Stanley Kalish, President, as its authorized official.

NPPES Registry Identity

NPI1396742870
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCLAYTON MOBILE DIAGNOSTIC CLINIC
Location Address6911 TARA BLVDJonesboro, GA 30236-1503
Mailing Address6911 Tara BlvdJonesboro, GA 30236-1503 · (770) 477-9535 · Fax (770) 471-7826
Phone(770) 477-9535
Fax(770) 471-7826
Organization SubpartNo
Authorized OfficialStanley KalishPresident · (770) 477-9535
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1396742870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6911 TARA BLVD, Jonesboro, GA 30236
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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

Other Providers at the Same Location NPPES 6

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

MYRNA GACUSAN
Nurse Practitioner (Family)
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-8573
ATLANTA FOOT AND LEG CLINIC
Podiatrist (Foot & Ankle Surgery)
6911 TARA BLVD, SUITE 101
JONESBORO, GA 30236
Clayton County (770) 477-9535
CLAYTON OUTPATIENT SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
6911 TARA BLVD, SUITE 104
JONESBORO, GA 30236
Clayton County (770) 477-9535
MIKE Y. TAN, M.D.P.C.
Case Management
6911 TARA BLVD, SUITE 111
JONESBORO, GA 30236
Clayton County (770) 478-2057
NON-HEALING WOUND CENTERS OF ATLANTA
Clinic/Center (Podiatric)
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-9535
DR. STANLEY RICHARD KALISH DPM
Podiatrist (Foot & Ankle Surgery)
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-9535

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 Mobile Diagnostic Clinic's NPI number?

The NPI number for Clayton Mobile Diagnostic Clinic is 1396742870. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Clayton Mobile Diagnostic Clinic located?

Clayton Mobile Diagnostic Clinic is located at 6911 Tara Blvd, Jonesboro, GA 30236. The listed phone number is (770) 477-9535.

What is Clayton Mobile Diagnostic Clinic's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Clayton Mobile Diagnostic Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.