Cathy Griffitts Clark, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0050-02179 Issued in NC

Practice address

200 Hospital Ave Ste 3
Jefferson, NC 28640-9244

Phone

(336) 846-7433

Fax

(336) 846-7878

NPI assigned

Nov 13, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashe Memorial Hospital IncGroup PAC ID 7315912870, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Health and Hospice Home health agency, Boone, NC, CCN 347020
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.52

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cathy.clark.1@14562.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.

• Ashe Financial Services, LLC

  • Family Medicine Physician
  • Jefferson, NC
  • NPI 1295193340
  Medicare reassignment NPD
• Ashe Financial Services, LLC

  • Orthopaedic Surgery Physician
  • Jefferson, NC
  • NPI 1376053512
  NPD
• Ashe Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Jefferson, NC
  • NPI 1427048172
  NPD (past)
• Daneil Strickland MD

  • Obstetrics & Gynecology Physician
  • West Jefferson, NC
  • NPI 1811104714

  Family

  NPD (past)

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

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Medical Services of America, Inc.

  • Home Health Agency
  • Boone, NC
  • NPI 1720329246
  Care Compare affiliation
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1215009758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "address_2": "200 HOSPITAL AVENUE, SUITE 3",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400369",
            "telephone_number": "336-846-7433",
            "fax_number": "336-846-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE STE 3",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-7433",
            "fax_number": "336-846-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CATHY",
        "middle_name": "GRIFFITTS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-02179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "162V5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Chapman, D.M.D.
• Charles W Jones MD PA
• Charles W Jones MD PA Endoscopy Suite
• Charles W Jones MD PA Endoscopy Unit
• Chauncey B Santos MD PC
• Rebecca Scoggin Clark, FNP
• Tina Clark, LPC
• Michele Tidwell Cole, FNP
• County of Ashe
• County of Ashe

• Family Nurse Practitioner in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.