CLAYTON CSB
NPI 1639367543
Community/Behavioral Health in Riverdale, GA

Q: What is Clayton Mhddad's NPI number?

The NPI number for Clayton Mhddad is 1639367543. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as Clayton Csb.

Q: What is Clayton Mhddad's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Clayton Mhddad was last updated on November 8, 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 October 05, 2007

6315 GARDEN WALK BLVD, RIVERDALE, GA 30274(770) 991-7420(770) 991-7429 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Clayton Csb NPPES

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

CLAYTON CSB (NPI 1639367543) is a healthcare organization registered as a community/behavioral health in Riverdale, Georgia and active in the NPI registry since October 2007. The organization lists Terry Cole, Excutive Director, as its authorized official.

NPPES Registry Identity

NPI1639367543

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCLAYTON MHDDAD

Location Address6315 GARDEN WALK BLVDRiverdale, GA 30274-2628

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

Phone(770) 991-7420

Fax(770) 991-7429

Organization SubpartYes

Authorized OfficialTerry ColeExcutive Director · (770) 478-2280

Enumeration DateOctober 5, 2007

Last NPPES UpdateNovember 8, 2011

✔ NPI 1639367543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselorTaxonomy 101Y00000X

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

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

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

6315 GARDEN WALK BLVD, Riverdale, GA 30274

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Other Names 1

Doing Business AsClayton Csb

Other Identifiers 3

Medicare PINGRP2322GA

Medicaid000604250BGA

Medicaid00604205BGA

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 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 Csb, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Ramesh Amin, MD

Psychiatry

NPI 1427037514

1814 LAKEFIELD CT SE STE A
Conyers, GA 30013

(770) 922-4770

✔ PECOS✔ Accepts Medicare22 mi

Portia Risper, FNP-BC

Nurse Practitioner

NPI 1497294532

600 S PINE HILL RD APT H6
Griffin, GA 30224

(404) 561-2505

✔ PECOS✔ Accepts Medicare25 mi

Rena Castlin, NP

Nurse Practitioner

NPI 1619216892

400 TOWER RD NE SUITE 350
Marietta, GA 30060

(770) 590-1078

✔ PECOS✔ Accepts Medicare29 mi

Shahzad Hashmi, M.D.,

Psychiatry

NPI 1770566341

200 WISTERIA DR
Gainesville, GA 30501

(770) 219-5407

✔ PECOS✔ Accepts Medicare60 mi

Lena Champlin, NP-C

Nurse Practitioner

NPI 1376982850

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

(833) 351-8255

✔ PECOS✔ Accepts Medicare756 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 1639367543. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as Clayton Csb.

Where is Clayton Mhddad located?

Clayton Mhddad is located at 6315 Garden Walk Blvd, Riverdale, GA 30274. The listed phone number is (770) 991-7420.

What is Clayton Mhddad's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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 8, 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.