CLAY N STALLWORTH MD
NPI 1790896215
Pediatrics in Augusta, GA
About Clay N Stallworth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAY N STALLWORTH MD (NPI 1790896215) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (047847) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clay N Stallworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Clay Stallworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, GA 30912
- Reassigned Medicare billing, Georgia enrollment
- 1,151 clinicians in this Medicare group
Roswell, GA 30076
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stallworth's NPI number?
The NPI number for Clay Stallworth is 1790896215. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Clay Stallworth located?
Clay Stallworth practices at 905 15th St, Augusta, GA 30901. The listed phone number is (706) 721-3125.
What is Clay Stallworth's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Clay Stallworth enrolled in Medicare?
Yes. Clay Stallworth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Clay Stallworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clay Stallworth reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each 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 Clay Stallworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clay Stallworth accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Clay Stallworth 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 Clay Stallworth was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 N Stallworth, MD · NPI 1790896215
Pediatrics physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1790896215 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 047847 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 905 15TH ST, Augusta, GA 30901-0615
- **Phone:** (706) 721-3125 · **Fax:** (706) 312-5427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Au Medical Associates Inc (NPI 1841230620, Augusta, GA); Wellstar Medical Group, LLC (NPI 1922405729, Roswell, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2012
- **Other identifiers:** Medicaid 000868194A (GA); Medicaid G47847 (SC); Medicare UPIN H15754; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790896215) · Data from the CMS NPPES public registry.