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CLAY N STALLWORTH MD
NPI 1790896215
Pediatrics in Augusta, GA

Active since August 31, 2006PECOS Enrolled
77.82/100
CMS Quality Rating
905 15TH ST, AUGUSTA, GA 30901(706) 721-3125(706) 312-5427 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1790896215
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCLAY N STALLWORTHCredential: MD
Location Address905 15TH STAugusta, GA 30901-0615
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 724-6100
Phone(706) 721-3125
Fax(706) 312-5427
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 3, 2012
✔ NPI 1790896215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 047847
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
905 15TH ST, Augusta, GA 30901
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Other Identifiers 4

Medicaid000868194AGA
MedicaidG47847SC
Medicare UPINH15754
Medicare ID-Type Unspecified37BBFQFGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Clay N Stallworth Md 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.

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

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.

RANDI E SMITH
Registered Nurse (Neuroscience)
905 15TH ST
AUGUSTA, GA 30901
Richmond County (762) 375-3074
KIMBERLY B. JESTER MD
Pediatrics
905 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 312-5437
DENIS BABICI MD
Psychiatry & Neurology (Neurology)
905 15TH ST
AUGUSTA, GA 30901
Richmond County (862) 323-7138
DR. ZACHERY WILLIAMS ROHM MD
Psychiatry & Neurology (Neurology)
905 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 721-4581

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.

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.