Clayton State University
NPI 1962891556 · Family Medicine Physician · Morrow, GA
Clayton State University is a Family Medicine Physician organization in Morrow, GA (NPI 1962891556).
Provider details
- NPI number
- 1962891556
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(800) 555-9073
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
- Clayton State Sports Medicine
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2015-01-20
Frequently asked questions
- What is Clayton State University's NPI number?
- Clayton State University's National Provider Identifier (NPI) is 1962891556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clayton State University?
- Clayton State University is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Clayton State University located?
- Clayton State University's practice location on file with NPPES is 2000 Clayton State Blvd, Morrow, GA 30260-1250.
- What is Clayton State University's phone number?
- The practice phone number listed in the NPPES registry for Clayton State University is (678) 466-4692.
- Who is the authorized official for Clayton State University?
- The authorized official listed on Clayton State University's NPPES record is Mouzon Bass, Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clayton State University's NPI active?
- Yes — Clayton State University's NPI (1962891556) is active in the NPPES registry as of the last update on 2015-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.