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Deactivated NPI 1144323239 Deactivated / Inactive NPI Male Practitioner

Kelley Glenn Cliver , PA-C

Physician Assistant • Grapevine, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelley Cliver has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Kelley Cliver, PA-C was a registered Physician Assistant practicing in Grapevine, TX. Throughout an active medical career spanning 17 years, Kelley Cliver provided care at the practice location at 2020 W STATE HIGHWAY 114 until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

2020 W State Highway 114
Suite 300

Grapevine, TX 760518649

Telephone 8174241525
Fax 8174243491
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grapevine, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
62 Specialists

Practicing in Grapevine, TX (11140 Statewide)

Telehealth Adoption Rate
29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04839

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. Azaan Ramani , DO

Internal Medicine - Gastroenterology

NPI 1104323922

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Smith , MD

Internal Medicine - Gastroenterology

NPI 1134105083

Doctor of Medicine (M.D.)

Nancy Farrar , PA

Physician Assistant

NPI 1134262256

Physician Assistant

Ginger Weaver , APRN, FNP-C

Nurse Practitioner - Family

NPI 1134708266

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Jin Young Sakai , PA

Physician Assistant

NPI 1215706098

Physician Assistant

Dr. Timothy Ritter , MD

Internal Medicine - Gastroenterology

NPI 1235115189

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active July 18, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address July 18, 2017

Registered at 2432 AVONDALE HASLET RD, STE 100, HASLET, TX 760523446 (Tel: 6823123969)

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Updated Practice Location July 18, 2017

Registered at 2020 W STATE HIGHWAY 114, SUITE 300, GRAPEVINE, TX 760518649 (Tel: 8174241525)

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Provider Name / Credentials Updated July 18, 2017

Recorded as KELLEY CLIVER, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2017

Physician Assistant (License #PA04839 in TX)

NPI Profile Active November 30, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 30, 2009

Registered at 2020 W STATE HIGHWAY 114, SUITE 300, GRAPEVINE, TX 760518649 (Tel: 8174241525)

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Updated Business Mailing Address November 30, 2009

Registered at 2020 W STATE HIGHWAY 114, SUITE 300, GRAPEVINE, TX 760518649 (Tel: 8174241525)

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Provider Name / Credentials Updated November 30, 2009

Recorded as KELLEY CLIVER, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2009

Physician Assistant (License #PA04839 in TX)

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Initial NPI Registration & Enumeration September 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144323239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: November 30, 2009
Deactivation Date: May 17, 2023

Mailing Address

2020 W State Highway 114, Suite 300

Grapevine, TX 760518649

Phone: 8174241525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.