MR. EMMITT RAY CLAUD JR. P.A.-C
NPI 1780614131
Physician Assistant - Medical in Goodlettsville, TN

Q: What is Emmitt Claud's NPI number?

The NPI number for Emmitt Claud is 1780614131. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Emmitt Claud's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Emmitt Claud was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 03, 2006PECOS Enrolled

201 BLUEBIRD DR, GOODLETTSVILLE, TN 37072(615) 859-7546(615) 851-7760 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Jan 13, 2022, Oct 2, 2015 (3 updates tracked since 2015).

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About Mr. Emmitt Ray Claud Jr. P.a.-c NPPES

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

MR. EMMITT RAY CLAUD JR. P.A.-C (NPI 1780614131) is an individual medical provider in Goodlettsville, Tennessee, licensed in Tennessee (550) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780614131

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. EMMITT RAY CLAUD JR.Credential: P.A.-C

Location Address201 BLUEBIRD DRGoodlettsville, TN 37072-2301

Mailing Address3810 Central PikeHermitage, TN 37076-3494 · (815) 744-8554

Phone(615) 859-7546

Fax(615) 851-7760

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateNovember 16, 20223 updates tracked since enumeration

NPPES CertifiedNovember 16, 2022

✔ NPI 1780614131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 550

201 BLUEBIRD DR, Goodlettsville, TN 37072

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Other Identifiers 1

Other3708943TN · Group Medicare Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Emmitt Ray Claud Jr. P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

BRANDON ROBERT MCNICKLE PA-C

Physician Assistant