CLINTON MEDICAL CLINIC
NPI 1780629154
General Practice in Clinton, NC

Active since June 18, 2006
403 FAIRVIEW ST, CLINTON, NC 28328(910) 592-6011(910) 592-0811 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2022, Aug 12, 2019, Aug 7, 2019 and 1 more (4 updates tracked since 2018).

About Clinton Medical Clinic NPPES

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

CLINTON MEDICAL CLINIC (NPI 1780629154) is a healthcare organization registered as a general practice in Clinton, North Carolina and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Clinton and lists Matthew Q. Robinson, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1780629154
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLINTON MEDICAL CLINIC, INC.
Location Address403 FAIRVIEW STClinton, NC 28328-2399
Mailing Address403 Fairview StClinton, NC 28328-2399 · (910) 592-6011 · Fax (910) 592-0811
Fax(910) 592-0811
Organization SubpartNo
Authorized OfficialMatthew Q. RobinsonPractice Administrator · (910) 590-0619
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 8, 20224 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1780629154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
403 FAIRVIEW ST, Clinton, NC 28328

Other Names 1

Doing Business AsClinton Medical Clinic

Secondary Practice Location 1

Location 1404 Fairview StClinton, NC 28328-2312 · Phone (910) 592-6011 · Fax (910) 592-0819

Other Identifiers 4

Other01340NC · Ncblue Cross Blue Shield
Medicaid8901340NC
Medicaid00321919NC
Other8382628NNC · Aetna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Clinton Medical Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Family Practice7
Pediatric Medicine2

Clinicians, nearest first (17)

Pediatric Medicine
NPI 1962430199
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOSSame address
Pediatric Medicine
NPI 1376610139
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOSSame address
Nurse Practitioner
NPI 1376252098
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518522986
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255016408
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOSSame address
Family Practice
NPI 1205860970
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1679589055
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1124557616
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1811933781
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1760427835
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-0611
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1548405962
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1174262893
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1629805916
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1568036069
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1871976845
403 FAIRVIEW ST
Clinton, NC 28328
(910) 590-0619
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1467498907
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS0.1 mi
Family Practice
NPI 1912935180
403 FAIRVIEW ST
Clinton, NC 28328
(910) 592-6011
✔ PECOS✔ Accepts Medicare0.1 mi

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 Clinton Medical Clinic, Inc.'s NPI number?

The NPI number for Clinton Medical Clinic, Inc. is 1780629154. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Clinton Medical Clinic.

Where is Clinton Medical Clinic, Inc. located?

Clinton Medical Clinic, Inc. is located at 403 Fairview St, Clinton, NC 28328. The listed phone number is (910) 592-6011.

What is Clinton Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Clinton Medical Clinic, Inc. enrolled in Medicare?

Yes. Clinton Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinton Medical Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Clinton Medical Clinic, Inc.. 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. The largest specialties are Nurse Practitioner (8), Family Practice (7) and Pediatric Medicine (2). Of these, 5 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clinton Medical Clinic, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Clinton Medical Clinic, Inc. 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 Clinton Medical Clinic, Inc. was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.