Carley Marie Clifton · Carley Burris · Physician Assistant

777 Kimole Ln Ste 140, Adrian, MI 49221-1481

Overview

Carley Marie Clifton is a Physician Assistant practicing in Adrian, Michigan. The National Provider Identifier (NPI) is #1740901149, which was assigned on September 6, 2022, and the registration record was last updated on October 13, 2025. The practitioner's main practice location is at 777 Kimole Ln Ste 140, Adrian, MI 49221-1481; the contact telephone number is 5173665020, and the fax number is 5173665024. The primary taxonomy of Carley Marie Clifton is Physician Assistant (363A00000X). Carley Marie Clifton is licensed to practice in the state of Michigan.

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1740901149
Entity Type Individual
Provider Name CARLEY MARIE CLIFTON
Other Name CARLEY BURRIS
(Former Name)
Gender Female
Credential PA-C
Practice Address 777 Kimole Ln Ste 140
Adrian
MI 49221-1481
Practice Telephone 5173665020
Practice Fax Number 5173665024
Mailing Address 777 Kimole Ln Ste 140
Adrian
MI 49221-1481
Certification Date 2025-10-13
Enumeration Date 2022-09-06
Last Update Date 2025-10-13
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 3274905922
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name CARLEY MARIE CLIFTON
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name PROMEDICA CENTRAL CORPORATION OF MICHIGAN
Address 200 E Russell Rd
Unit C
Tecumseh
MI 49286-2072

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician AssistantMI

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Makeda Alexander 445 Lenox Rd, Brooklyn, NY 11203-2017Physician Assistant2026-06-06
Isabella Renee Pecoraro 400 Cedar Ave, West Long Branch, NJ 07764-1804Physician Assistant2026-06-06
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Santiago Hernandez Cruz 1412 Mockingbird Ln Apt M305, Midland, TX 79705-2073Physician Assistant2026-06-05
Casey Lynn Treon 34 Angela St, Canton, MA 02021-2250Physician Assistant2026-06-06
Dalton Garrett Walker 6901 Bagby Ave Apt 2704, Woodway, TX 76712-1213Physician Assistant2026-06-06
Jennifer Leigh Aquino 16377 Las Cumbres Dr, Whittier, CA 90603-1139Physician Assistant2026-06-05
Christina Cauley 1945 Nj-33, Neptune City, NJ 07753Physician Assistant2026-06-05
Sloan Nicole Mann 21 County Road 1701, Cullman, AL 35058-7633Physician Assistant2026-06-06
Kyla Morgan Brossoit 2301 Erwin Rd, Durham, NC 27705-4699Physician Assistant2026-06-06
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Location Information

Street Address 777 KIMOLE LN STE 140
City ADRIAN
State MI
Zip Code 49221-1481
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Karlee Rae Hinzman 176 S Charles St, Adrian, MI 49221Athletic Trainer2025-02-19
Chelsea Elaine Deck I 1040 S. Winter Street, Suite # 1022, Adrian, MI 49221Health Maintenance Organization2019-07-23
Willow and Sage 3700 S Adrian Hwy, Adrian, MI 49221Mental Health Counselor2025-08-04
Michelle Lynn Ranta 730 Kimole Ln., Adrian, MI 49221Speech-Language Pathologist2015-10-19
Nysha Raina Burciaga 1424 S. Main St. Adrian, Mi 49221, Suite 3, Adrian, MI 49221Behavior Technician2021-08-10
Aisleen Morr Professional Limited Liability Company 1416 South Main Street, Suite 220 - 2027, Adrian, MI 49221Clinical Social Worker2024-09-12
Painless Dentistry V 160 N. Winter St., Adrian, MI 49221General Practice Dentistry2016-11-08
Daniel Malcolm 1325 Williams St., Adrian, MI 49221Athletic Trainer2017-06-20
Sandra Ann Harsh Total Rehab, 1136 Country Club, Adrian, MI 49221Occupational Therapist2018-08-31
James Hamblin 1100 South Main St. Lot 139, Adrian, MI 49221Other Technician2015-08-04
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Carley Cheyenne Floyd 100 Concourse Pkwy Ste 101, Hoover, AL 35244-2905Psychiatric/Mental Health Nurse Practitioner2026-03-04
Carley Murray · Carley Critchlow 7211 W Charleston Blvd, Las Vegas, NV 89117-1638Peer Specialist2026-04-24
Carley Libby 2839 Sw 87th Dr Ste 10, Gainesville, FL 32608-9376Physical Medicine & Rehabilitation Physician2026-03-03
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.