Amy Dawn Clemons, MD - Medicare Family Medicine in Statesboro, GA

  1. Home
  2. Family Medicine
  3. GA
  4. Statesboro
Amy Dawn Clemons, MD is a medicare enrolled "Family Medicine" physician in Statesboro, Georgia. Her current practice location is 1555 Brampton Ave, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 480-9444.

Amy Dawn Clemons is licensed to practice in Georgia (license number 057058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225122435.

Contact Information

Amy Dawn Clemons, MD
1555 Brampton Ave,
Statesboro, GA 30458-0856
(912) 480-9444
(912) 228-4654

Map and Direction




Physician's Profile

Full NameAmy Dawn Clemons
GenderFemale
SpecialityFamily Medicine
Location1555 Brampton Ave, Statesboro, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225122435
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 01/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921006495
  • Enrollment ID: I20061116000247

Medical Identifiers

Medical identifiers for Amy Dawn Clemons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225122435NPI-NPPES
584491645AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 057058 (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. Amy Dawn Clemons allows following entities to bill medicare on her behalf.
Entity NameSoutheast Medical Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20040423000347
Entity NameVictoria Family Practice Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700119997
PECOS PAC ID: 8729124854
Enrollment ID: O20091005000068

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. Amy Dawn Clemons 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
Amy Dawn Clemons, MD
Po Box 821,
Statesboro, GA 30459-0821

Ph: (912) 480-9444		Amy Dawn Clemons, MD
1555 Brampton Ave,
Statesboro, GA 30458-0856

Ph: (912) 480-9444

Reviews and Comments


Family Medicine Doctors in Statesboro, GA

Leslie A Pittman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16741 Hwy 67, Suite A, Statesboro, GA 30458
Phone: 912-623-2391    Fax: 912-623-2396
Zachary Mcgalliard, MD, MPH
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23702 Us Highway 80 E, Statesboro, GA 30461
Phone: 912-489-4090    
Robert Moore Benson Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458
Phone: 912-764-2273    Fax: 912-489-4762
Sreevalli Dega, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1570 Brampton Ave, Statesboro, GA 30458
Phone: 912-764-9196    
Thaddeus H Riley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23702 Hwy 80 E, Statesboro, GA 30458
Phone: 912-489-4090    Fax: 912-765-5028
Dr. Aaron Taylor Clark, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 117 Hill Pond Ln, Statesboro, GA 30458
Phone: 912-623-2155    Fax: 912-623-2156
Iris Kalin Clark, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1550 Brampton Ave, Ste B, Statesboro, GA 30458
Phone: 912-623-2155    Fax: 912-623-5156

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.