MR. CLAY DITTY (ACNP) – Acute Care Nurse Practitioner, NPI 1316223829

MR. CLAY DITTY (ACNP) is a healthcare provider. based in Stockbridge, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. RN246944 (GA). The NPI Number for MR. CLAY DITTY (ACNP) is 1316223829

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. CLAY DITTY (ACNP)
NPI
1316223829
Phone
(404) 367-3014
Address
1133 EAGLES LANDING PKWY
Enumeration Date
27 October 2011
Last Update Date
29 February 2016

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4046055000
Graduation Year
2011 (15 years ago)
PAC ID
3971763426
Group Practice PAC ID
4183986490
Professional Enrollment ID
I20151009001625
Address ID
GA303091281AT1968XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MR. CLAY DITTY (ACNP)

  • 1133 EAGLES LANDING PKWY

    STOCKBRIDGE, GA 302815085

    Phone: (404) 367-3014

    Fax: (404) 367-3558

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151009001625INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes7053$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Provider's Procedures

MR. CLAY DITTY (ACNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA36556Insertion of central venous catheter for infusion, patient 5 years or older1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183986490View full group profile
NameSpecialtyState
Nurse PractitionerGA
-MN
Critical Care (Intensivists)GA
Physician AssistantGA
Pulmonary Disease, Critical Care (Intensivists)GA
Physician AssistantGA
-UT
G A S T R O E N T E R O L O G YGA
-GA
-GA

Reviews

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Frequently asked questions

Can I cross-check MR. CLAY DITTY (ACNP) using NPI 1316223829?
NPI 1316223829 belongs to MR. CLAY DITTY (ACNP); compare other details if you need extra assurance.
Would MR. CLAY DITTY (ACNP) appear as active to a payer?
You can treat MR. CLAY DITTY (ACNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. CLAY DITTY (ACNP)'s focus?
For MR. CLAY DITTY (ACNP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is MR. CLAY DITTY (ACNP) registered?
Use Stockbridge, Georgia as the headline location for MR. CLAY DITTY (ACNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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