CLAY PULMONARY SERVICES PA
NPI 1780071613
Internal Medicine - Pulmonary Disease in Orange Park, FL
About Clay Pulmonary Services Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAY PULMONARY SERVICES PA (NPI 1780071613) is a healthcare organization registered as a pulmonary disease in Orange Park, Florida and active in the NPI registry since April 2015. The organization lists Maria Antonio-miranda, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clay Pulmonary Services Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clay Pulmonary Services PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Clay Pulmonary Services PA's NPI number?
The NPI number for Clay Pulmonary Services PA is 1780071613. It was assigned to this organization in the NPPES registry on April 17, 2015.
Where is Clay Pulmonary Services PA located?
Clay Pulmonary Services PA is located at 1409 Kingsley Ave Building 3B, Orange Park, FL 32073. The listed phone number is (904) 269-9200.
What is Clay Pulmonary Services PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Clay Pulmonary Services PA enrolled in Medicare?
Yes. Clay Pulmonary Services PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clay Pulmonary Services PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clay Pulmonary Services PA, in Nurse Practitioner and Pulmonary Disease. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clay Pulmonary Services PA was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Clay Pulmonary Services Pa · NPI 1780071613
Pulmonary Disease organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since April 17, 2015.
## Identity
- **NPI:** 1780071613 (Entity type: Organization)
- **Enumerated:** April 17, 2015
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Maria Antonio-Miranda, OWNER
## Practice location
- **Address:** 1409 KINGSLEY AVE, BUILDING 3B, Orange Park, FL 32073-4537
- **Phone:** (904) 269-9200 · **Fax:** (904) 269-7796
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pulmonary Disease (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1780071613) · Data from the CMS NPPES public registry.