CLAYTON INTERNAL MEDICINE PC
NPI 1366658833
Clinic/Center - Medical Specialty in Clayton, NC
NPI Status: Active since May 14, 2007
Contact Information
301 AMOS ST
CLAYTON, NC
ZIP 27520
Phone: (919) 550-6336
Fax: (919) 550-0180
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
- CLIA Number: 34D1005814
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-30-2026
About CLAYTON INTERNAL MEDICINE PC
This page provides the complete NPI Profile along with additional information for Clayton Internal Medicine Pc, a provider established in Clayton, North Carolina operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1366658833 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 9900898 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Mazen Khusayem Md (President)
- NPI
- 1366658833
- Provider Name
- CLAYTON INTERNAL MEDICINE PC
- Entity Type
- Organization
- Location Address
- 301 AMOS ST CLAYTON, NC 27520
- Location Phone
- (919) 550-6336
- Location Fax
- (919) 550-0180
- Mailing Address
- PO BOX 997 CLAYTON, NC 27528
- Mailing Phone
- (919) 550-6336
- Mailing Fax
- (919) 550-0180
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2007
- Last Update Date
- 01-22-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 9900898
- License State
- NC
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Bronze Standard | with UNC Health Alliance - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Gold Standard | with UNC Health Alliance - EPO
- Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Silver Standard | with UNC Health Alliance - EPO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G10034 | MEDICARE UPIN (02) | NC | |
| 2280894 | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | |
| 89126XV | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D1005814
- Facility Type
- Physician Office
- Certificate Effective Date
- October 31, 2024
- Certificate Expiration Date
- October 30, 2026
- Laboratory Director
- MAZEN KHUSAYEM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clayton Internal Medicine Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CLAYTON INTERNAL MEDICINE PC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 6 | 5 | 8 | 8 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 12 | 5 | 16 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 2 + 5 + 1 + 6 + 8 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1366658833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285604934 | DR. MAZEN KHUSAYEM MD Individual | Internal Medicine | 301 AMOS ST CLAYTON, NC 27520 (919) 550-6336 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366658833, enumerated in the NPI registry as an "organization" on May 14, 2007
The provider is located at 301 Amos St Clayton, Nc 27520 and the phone number is (919) 550-6336
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D1005814 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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