Provider Type Icon

CLAYTON LEE QUINN PA-C NPI 1497006183


NPI Information

NPI: 1497006183
Provider Name: CLAYTON LEE QUINN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1135 MILITARY CUTOFF ROAD
SUITE 103
WILMINGTON, NC
ZIP 28405
Phone: (910) 256-6222
Get Directions

Clayton Lee Quinn, PA-C is a medical physician assistant in Wilmington, NC. Clayton Lee Quinn, PA-C NPI is 1497006183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1135 MILITARY CUTOFF ROAD
SUITE 103
WILMINGTON, NC
ZIP 28405-685
Phone: (910) 256-6222
Fax: (910) 256-0011

The NPI 1497006183 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2012 and was last updated on 11/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant186191NORTH CAROLINANo
2363AM0700XPhysician AssistantMedical186191NORTH CAROLINANo
3363AM0700XPhysician AssistantMedical0010-03788NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NC9521DMEDICARE PINNORTH CAROLINA
2NC9521EMEDICARE PINNORTH CAROLINA
3NC952BMEDICARE PINNORTH CAROLINA
4NC9521CMEDICARE PINNORTH CAROLINA
5NC9521FMEDICARE PINNORTH CAROLINA
61497006183MEDICAIDNORTH CAROLINA
71356642342MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.