Ashley Hudgins Clark, AGPC-NP
Individual provider Active NPI Nurse Practitioner · Thomasville, NC
NPI 1063295293 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1063295293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5018625 (NC)
- Practice address
- 309 Pineywood Rd
Thomasville, NC 27360-3438 - Phone
- (336) 475-8121
- Fax
- (336) 475-5377
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Forsyth Memorial Hospital Inc
Practice addresses (Care Compare)
309 Pineywood Rd
Thomasville, NC 27360-3438
Phone (336) 475-8121
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
- Novant Health Thomasville Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002002204 | NC | Practitioner - Nurse Practitioner | 5698129120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CLAR-OL6VR | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
309 Pineywood Rd
Thomasville, NC 27360
Phone (336) 474-8921
903 Randolph St
Ste 1
Thomasville, NC 27360
Phone (336) 475-7163
100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | CLAR-OL6VR | NC | |
| Nurse Practitioner | 363L00000X | 5018625 | NC | Yes |
Addresses
Primary practice location
309 Pineywood Rd
Thomasville, NC 27360-3438
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other providers in Thomasville, NC
- Kelly M Chisholm
- Shea Renee Chrismon
- Claudiu Adrian Cimpean
- City Shoe Shop
- Phyllis Smith Clabough
- Katherine J. Clark
- Mariana Jackelin Claros Tineo
- Rodney Cline
- Halee Huneycutt Clontz
- Thomas Earl Coleman
All providers in Thomasville, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.