CLAYTON CASSIDY
NPI 1679344733
Physician Assistant in Fort Campbell, KY

Q: What is Clayton Cassidy's NPI number?

The NPI number for Clayton Cassidy is 1679344733. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Q: What is Clayton Cassidy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Clayton Cassidy was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 January 09, 2024

5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223(270) 412-4284 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2025, Apr 4, 2025, Mar 21, 2025 (3 updates tracked since 2025).

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About Clayton Cassidy NPPES

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

CLAYTON CASSIDY (NPI 1679344733) is an individual physician assistant in Fort Campbell, Kentucky and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1679344733

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCLAYTON CASSIDY

Location Address5979 DESERT STORM AVEFort Campbell, KY 42223-5514

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400

Phone(270) 412-4284

Sole ProprietorNo

Enumeration DateJanuary 9, 2024

Last NPPES UpdateApril 7, 20253 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1679344733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5979 DESERT STORM AVE, Fort Campbell, KY 42223

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