Traci D Clark, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2876 Issued in NC

Practice address

224 N Fairview Road
Rocky Mount, NC 27801

Phone

(252) 446-7246

Fax

(252) 446-5407

NPI assigned

Jul 11, 2006

Last updated

Aug 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgecombe Chiropractic Inc

  dba Hammer Chiropractic Edgecombe

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1023189065
  Medicare reassignment NPD Authorized official
• Bannon Clinic of Chiropractic, PA

  • Chiropractor
  • Gastonia, NC
  • NPI 1891885851
  NPD (past)
• Miller Chiropractic of Rocky Mount, PC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1669624540
  NPD (past)
• Robinson Chiropractic Center

  dba Thomas Chiropractic Center

  • Chiropractor
  • Gastonia, NC
  • NPI 1437176278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1073548996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7353",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-446-7246",
            "fax_number": "252-446-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N FAIRVIEW ROAD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-446-7246",
            "fax_number": "252-446-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRACI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085PH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Circle of Life Home Care Inc.
• Citizens Choice
• Tristan Clanton, RN
• Claire Bricely Clark, AGNP-C
• Steven Alan Clark, DC
• Cindy Creekmore Clayton, R.N., F.N.P.
• Clearpath Credit LLC (ClearPath Private Transportation Services)
• Clinic on the Corner, PLLC
• CNC / Access Inc.
• CNC / Access Inc.

• Chiropractor in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.