Chelsea Victoria Clark, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42085 Issued in AL

Practice address

1108 S Broad St Ste a
Scottsboro, AL 35768-2514

Phone

(256) 218-3230

NPI assigned

Apr 8, 2019

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

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highlands Professional ServicesGroup PAC ID 0648666198, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
• Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chelsea.clark.2@29332.direct.athenahealth.com

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

• Highlands Professional Services

  • Specialist
  • Scottsboro, AL
  • NPI 1750041786

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD
• Scottsboro OB GYN Specialists LLC

  • Obstetrics & Gynecology Physician
  • Scottsboro, AL
  • NPI 1972658300
  NPD
• HH Health System - Jackson LLC

  • Nursing Facility/Intermediate Care Facility
  • Bridgeport, AL
  • NPI 1962171272
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Health Home Health of Alabama, LLC

  • Home Health Agency
  • Decatur, AL
  • NPI 1538620984
  Care Compare affiliation
• HH Health System - Jackson LLC

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976

  Hospital

  Care Compare affiliation
• Mid-South Home Health of Gadsden, LLC

  • Home Health Agency
  • Rainbow City, AL
  • NPI 1740219591
  Care Compare affiliation

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1124581137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S BROAD ST STE A",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682514",
            "telephone_number": "256-218-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S BROAD ST STE A",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682514",
            "telephone_number": "256-218-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHELSEA",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "42085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Chadwick, ALC
• Theia Ann Chaffin, CCC-SLP
• Charles B. Lovelady, M.D., L.L.C.
• Charles R Bradford MD PC
• Madison Ashleigh Childress
• Dakota Ellis Clark, FNP
• Melinda Pace Clark, L.C.S.W.
• Christopher Brian Clayton, M.D.
• Whitney Claridy Clayton, CRNP
• Brandy S Clemons, PT

• Family Medicine Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.