Dr Clarissa Jo Middleton, PHD, MED is a
Early Intervention Provider Agency based in Hephzibah, Georgia. Dr Clarissa Jo Middleton is licensed to practice in * (Not Available) (license number ) and her current practice location is
4040 Pinnacle Way, Hephzibah, Georgia. She can be reached at her office (for appointments etc.) via phone at
(863) 329-2510.
NPI number for Dr Clarissa Jo Middleton is 1861136277 and her current mailing address is 4040 Pinnacle Way, Hephzibah, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861136277.
Healthcare Provider's Profile
| Full Name | Dr Clarissa Jo Middleton |
|---|
| Gender | Female |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 4040 Pinnacle Way, Hephzibah, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861136277
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 04/21/2022
Medical Identifiers
Medical identifiers for Dr Clarissa Jo Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861136277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
| 1744R1102X | Specialist - Research Study | (* (Not Available)) | Secondary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
| 261QF0050X | Clinic/center - Family Planning, Non-surgical | (* (Not Available)) | Secondary |
| 282J00000X | Religious Nonmedical Health Care Institution | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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 Clarissa Jo Middleton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clarissa Jo Middleton, PHD, MED
4040 Pinnacle Way,
Hephzibah, GA 30815-6135
Ph: (863) 329-2510 | Dr Clarissa Jo Middleton, PHD, MED
4040 Pinnacle Way,
Hephzibah, GA 30815-6135
Ph: (863) 329-2510 |
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