DR. CHARLES V CLOPTON, JR M.D.
NPI 1770514440
Family Medicine in Ellenwood, GA

Q: What is Charles Clopton, Jr's NPI number?

The NPI number for Charles Clopton, Jr is 1770514440. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Charles Clopton, Jr's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

195 FAIRVIEW RD, ELLENWOOD, GA 30294(770) 507-0112 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Charles V Clopton, Jr M.d. NPPES

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

DR. CHARLES V CLOPTON, JR M.D. (NPI 1770514440) is an individual family medicine provider in Ellenwood, Georgia, licensed in Georgia (043019) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (1994).

NPPES Registry Identity

NPI1770514440

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHARLES V CLOPTON, JRCredential: M.D.

Location Address195 FAIRVIEW RDEllenwood, GA 30294-2722

Mailing Address2611 N Clark DrEast Point, GA 30344-2342 · (404) 766-7518

Phone(770) 507-0112

Sole ProprietorYes

Medical School CMSMorehouse School Of MedicineGraduated 1994

Enumeration DateJuly 5, 2006

Last NPPES UpdateDecember 10, 2007

✔ NPI 1770514440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 043019

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

195 FAIRVIEW RD, Ellenwood, GA 30294

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Other Identifiers 2

Medicare UPING80073GA

Medicare PIN08BBQGJGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles V Clopton, Jr M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911989231

PECOS Enrollment IDI20040602000165

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

132 services18 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

127 services18 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

122 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

98 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services38 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30294 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$18.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$96.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NATISHA LATRISE ROBERSON-DUNN PA-C

Physician Assistant (Medical)

195 FAIRVIEW RD
ELLENWOOD, GA 30294

Clayton County (770) 507-0112

C. V. CLOPTON, JR, MD, PC

Family Medicine

195 FAIRVIEW RD
ELLENWOOD, GA 30294

Clayton County (770) 507-0112

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 Charles Clopton, Jr's NPI number?

The NPI number for Charles Clopton, Jr is 1770514440. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Charles Clopton, Jr located?

Charles Clopton, Jr practices at 195 Fairview Rd, Ellenwood, GA 30294. The listed phone number is (770) 507-0112.

What is Charles Clopton, Jr's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Clopton, Jr enrolled in Medicare?

Yes. Charles Clopton, Jr is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Clopton, Jr accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Charles Clopton, Jr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Clopton, Jr was last updated on December 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.