DR. CLAYTON FRANKLIN FUQUA MD
NPI 1487148177
Military Health Care Provider in Tinker Afb, OK

Q: What is Clayton Fuqua's NPI number?

The NPI number for Clayton Fuqua is 1487148177. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Clayton Fuqua's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Clayton Fuqua was last updated on March 7, 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.

Active since June 18, 2018PECOS Enrolled

7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145(405) 582-6615 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Jun 18, 2018 (2 updates tracked since 2018).

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About Dr. Clayton Franklin Fuqua Md NPPES

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

DR. CLAYTON FRANKLIN FUQUA MD (NPI 1487148177) is an individual military health care provider provider in Tinker Afb, Oklahoma, licensed in Virginia (0101267570) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487148177

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameDR. CLAYTON FRANKLIN FUQUACredential: MD

Location Address7050 AIR DEPOT BLVD BLDG 1094Tinker Afb, OK 73145-8716

Mailing Address7050 Air Depot Blvd Bldg 1094Tinker Afb, OK 73145-8716 · (405) 582-6615

Phone(405) 582-6615

Sole ProprietorNo

Enumeration DateJune 18, 2018

Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration

NPPES CertifiedMarch 7, 2022

✔ NPI 1487148177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in VA · 0101267570

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

7050 AIR DEPOT BLVD BLDG 1094, Tinker Afb, OK 73145

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clayton Franklin Fuqua Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

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