CLAYTON CENTER CSB
NPI 1477719722
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jonesboro, GA

Q: What is Clayton Mhddad's NPI number?

The NPI number for Clayton Mhddad is 1477719722. It was assigned to this organization in the NPPES registry on August 5, 2008. The provider is doing business as Clayton Center Csb.

Q: What is Clayton Mhddad's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Q: When was this NPI record last updated?

The NPPES record for Clayton Mhddad was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 05, 2008

217 STOCKBRIDGE RD, JONESBORO, GA 30236(770) 478-2280(770) 477-9772 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Clayton Center Csb NPPES

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

CLAYTON CENTER CSB (NPI 1477719722) is a healthcare organization registered as a mental health (including community mental health center) in Jonesboro, Georgia and active in the NPI registry since August 2008. The organization lists Terry Cole, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477719722

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCLAYTON MHDDAD

Location Address217 STOCKBRIDGE RDJonesboro, GA 30236-3628

Mailing Address157 Smith StJonesboro, GA 30236-3546 · (770) 478-2280 · Fax (770) 477-9772

Phone(770) 478-2280

Fax(770) 477-9772

Organization SubpartNo

Authorized OfficialTerry ColeExecutive Director · (770) 478-2280

Enumeration DateAugust 5, 2008

Last NPPES UpdateNovember 15, 2011

✔ NPI 1477719722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

217 STOCKBRIDGE RD, Jonesboro, GA 30236

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Other Names 1

Doing Business AsClayton Center Csb

Other Identifiers 2

Medicare PINGRP2322GA

Medicaid000604205DGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Clayton Center Csb, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Portia Risper, FNP-BC

Nurse Practitioner

NPI 1497294532

600 S PINE HILL RD APT H6
Griffin, GA 30224

(404) 561-2505

✔ PECOS✔ Accepts Medicare21 mi

Ramesh Amin, MD

Psychiatry

NPI 1427037514

1814 LAKEFIELD CT SE STE A
Conyers, GA 30013

(770) 922-4770

✔ PECOS✔ Accepts Medicare21 mi

Rena Castlin, NP

Nurse Practitioner

NPI 1619216892

400 TOWER RD NE SUITE 350
Marietta, GA 30060

(770) 590-1078

✔ PECOS✔ Accepts Medicare33 mi

Shahzad Hashmi, M.D.,

Psychiatry

NPI 1770566341

200 WISTERIA DR
Gainesville, GA 30501

(770) 219-5407

✔ PECOS✔ Accepts Medicare62 mi

Lena Champlin, NP-C

Nurse Practitioner

NPI 1376982850

109 W 27TH ST RM 5S
New York, NY 10001

(833) 351-8255

✔ PECOS✔ Accepts Medicare757 mi

Oyenike Sanni

Nurse Practitioner

NPI 1841601010

780 PAPER CREEK DR
Lawrenceville, GA 30046

(770) 682-3060

✔ PECOS✔ Accepts Medicare

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 Clayton Mhddad's NPI number?

The NPI number for Clayton Mhddad is 1477719722. It was assigned to this organization in the NPPES registry on August 5, 2008. The provider is doing business as Clayton Center Csb.

Where is Clayton Mhddad located?

Clayton Mhddad is located at 217 Stockbridge Rd, Jonesboro, GA 30236. The listed phone number is (770) 478-2280.

What is Clayton Mhddad's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Clayton Mhddad enrolled in Medicare?

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

How many clinicians bill Medicare through Clayton Mhddad?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Clayton Mhddad. 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. The largest specialties are Nurse Practitioner (4) and Psychiatry (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clayton Mhddad was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.