Clinton Medical Clinic, Inc.
NPI 1780629154 · General Practice Physician · Clinton, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clinton Medical Clinic, Inc. is a General Practice Physician organization in Clinton, NC (NPI 1780629154).
Provider details
- NPI number
- 1780629154
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Robinson, Practice Administrator(910) 590-0619
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatric Nurse Practitioner363LP0200X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Clinton Medical Clinic
Additional practice locations (1)
- 404 Fairview StClinton, NC 28328-2312Phone: (910) 592-6011Fax: (910) 592-0819
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Clinton Medical Clinic, Inc.'s NPI number?
- Clinton Medical Clinic, Inc.'s National Provider Identifier (NPI) is 1780629154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinton Medical Clinic, Inc.?
- Clinton Medical Clinic, Inc. is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Clinton Medical Clinic, Inc. located?
- Clinton Medical Clinic, Inc.'s practice location on file with NPPES is 403 Fairview St, Clinton, NC 28328-2399.
- What is Clinton Medical Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Clinton Medical Clinic, Inc. is (910) 592-6011.
- Does Clinton Medical Clinic, Inc. accept Medicare?
- Clinton Medical Clinic, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clinton Medical Clinic, Inc.?
- The authorized official listed on Clinton Medical Clinic, Inc.'s NPPES record is Matthew Robinson, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinton Medical Clinic, Inc.'s NPI active?
- Yes — Clinton Medical Clinic, Inc.'s NPI (1780629154) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.