Dr Charles V Clopton, Jr, MD - Medicare Family Medicine in Ellenwood, GA

Dr Charles V Clopton, Jr, MD is a medicare enrolled "Family Medicine" physician in Ellenwood, Georgia. His current practice location is 195 Fairview Rd, Ellenwood, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 507-0112.

Dr Charles V Clopton, Jr is licensed to practice in Georgia (license number 043019) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770514440.

Contact Information

Dr Charles V Clopton, Jr, MD
195 Fairview Rd,
Ellenwood, GA 30294-2722
(770) 507-0112
Not Available



Physician's Profile

Full NameDr Charles V Clopton, Jr
GenderMale
SpecialityFamily Medicine
Location195 Fairview Rd, Ellenwood, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770514440
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 12/10/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7911989231
  • Enrollment ID: I20040602000165

Medical Identifiers

Medical identifiers for Dr Charles V Clopton, Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770514440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 043019 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Charles V Clopton, Jr allows following entities to bill medicare on his behalf.
Entity NameC. V. Clopton, Jr, Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699879965
PECOS PAC ID: 4981691516
Enrollment ID: O20040427000719

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Entity NameAnemonefish Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033514716
PECOS PAC ID: 7012236664
Enrollment ID: O20150501001344

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Entity NameMedical Office Force
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508378613
PECOS PAC ID: 9335481951
Enrollment ID: O20190501001903

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles V Clopton, Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles V Clopton, Jr, MD
2611 N Clark Dr,
East Point, GA 30344-2342

Ph: (404) 766-7518
Dr Charles V Clopton, Jr, MD
195 Fairview Rd,
Ellenwood, GA 30294-2722

Ph: (770) 507-0112

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› Verified 8 days ago


Family Medicine Doctors in Ellenwood, GA

Lishan Bekele, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 Fairview Rd, Ellenwood, GA 30294
Phone: 770-507-4554    Fax: 770-507-6413
Dr. Melody Lawanda Bray-ross, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3559 Spring Shls, Ellenwood, GA 30294
Phone: 404-241-6032    
Dr. Suhas Joe Samuel, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2720 Quiktrip Way, Ellenwood, GA 30294
Phone: 470-582-5698    
Reem M Sidani, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 211 Fairview Rd, Ellenwood, GA 30294
Phone: 678-289-6747    Fax: 678-289-6750
Dr. Mitzi Clayton, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 Fairview Rd, Ellenwood, GA 30294
Phone: 770-507-4554    Fax: 770-507-6413
Dr. April Marie F. Madu, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2720 E Clayton Dr, Ellenwood, GA 30294
Phone: 800-993-8244    Fax: 855-684-6065

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