Provider Demographics
NPI:1326041922
Name:CLAYTON, ANNA S (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:S
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-343-1999
Mailing Address - Fax:615-343-6489
Practice Address - Street 1:719 THOMPSON LN STE 26300
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4679
Practice Address - Country:US
Practice Address - Phone:615-343-1999
Practice Address - Fax:615-343-6489
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD42920207N00000X, 207ND0101X
TXL9659207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168476302Medicaid
TX168476302Medicaid
TXI19499Medicare UPIN