Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clayton State University

Organization Family Medicine Physician · NPI 1962891556

Clayton State University is a Family Medicine Physician in Morrow, Georgia. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

2000 Clayton State Blvd
Morrow, GA 30260-1250
Phone: (678) 466-4692
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1962891556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (800) 555-9073
Other names Clayton State Sports Medicine
NPI enumeratedJanuary 20, 2015
Last updated in NPPESJanuary 20, 2015
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

Other providers in Morrow