CLOPTON PRIMARY CARE
NPI 1699879965
Family Medicine in Ellenwood, GA
About Clopton Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLOPTON PRIMARY CARE (NPI 1699879965) is a healthcare organization registered as a family medicine in Ellenwood, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Lisa B Green-clopton, Cfo/ Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clopton Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clopton Primary Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1024550
C V Clopton Jr MD PC · Stockbridge, GAFrequently 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 C. V. Clopton, Jr, MD, PC's NPI number?
The NPI number for C. V. Clopton, Jr, MD, PC is 1699879965. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Clopton Primary Care.
Where is C. V. Clopton, Jr, MD, PC located?
C. V. Clopton, Jr, MD, PC is located at 195 Fairview Rd, Ellenwood, GA 30294. The listed phone number is (770) 507-0112.
What is C. V. Clopton, Jr, MD, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is C. V. Clopton, Jr, MD, PC enrolled in Medicare?
Yes. C. V. Clopton, Jr, MD, PC is registered in the Medicare PECOS enrollment system.
When is C. V. Clopton, Jr, MD, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through C. V. Clopton, Jr, MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to C. V. Clopton, Jr, MD, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does C. V. Clopton, Jr, MD, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1024550) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for C. V. Clopton, Jr, MD, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Clopton Primary Care · NPI 1699879965
Family Medicine organization in Ellenwood, Georgia. Organization record, active in the CMS NPPES registry since September 8, 2006.
## Identity
- **NPI:** 1699879965 (Entity type: Organization)
- **Enumerated:** September 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** C. V. Clopton, Jr, Md, Pc
- **Organization subpart:** No
- **Authorized official:** Lisa Green-Clopton, CFO/ BUSINESS MANAGER
## Practice location
- **Address:** 195 FAIRVIEW RD, Ellenwood, GA 30294-2722
- **Phone:** (770) 507-0112 · **Fax:** (770) 507-9450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699879965) · Data from the CMS NPPES public registry.