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NPI · 1821541152 · NPPES-sourced

Mary Clark PA

ActiveMedical Physician Assistant
NPI Number
1821541152
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(706) 548-6881
License GA · 8057
Last Updated
Enumerated
Primary practice addressGA · 30606-3509
2142 W Broad St, Bldg 100, Ste 200Athens, GA 30606-3509
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Also known as

  • Also known asClark, Olivia

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1821541152 is registered to Mary Clark PA, a Medical Physician Assistant practising at 2142 W Broad St, Bldg 100, Ste 200 in Athens, Georgia. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mary Clark PA has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mary Clark PA accepts. To confirm in-network status with your specific health plan, contact Mary Clark PA directly at (706) 548-6881.

Frequently asked

Yes. NPI 1821541152 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (706) 548-6881.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mary Clark PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
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