Mark Allen Clapp, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18488 Issued in TN

Practice address

315 N Washington Ave
Suite 130
Cookeville, TN 38501-2603

Phone

(931) 526-1050

Fax

(931) 526-8163

NPI assigned

May 10, 2006

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Tennessee, HSC, College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Livingston Hospital and Healthcare Services, Inc Hospital, Salem, KY, CCN 181320
• The Medical Center at Albany Hospital, Albany, KY, CCN 181333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hometown Family Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Jamestown, TN
  • NPI 1154763134

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Park Medical

  • Rural Health Clinic/Center
  • Whitwell, TN
  • NPI 1124737408

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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.

• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment Care Compare group NPD
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768

  Emergency Medicine

  Medicare reassignment NPD
• Hometown Family Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Jamestown, TN
  • NPI 1154763134
  Medicare reassignment NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  KY

  Medicare reassignment NPD
• Kentucky Post-Acute Medical Services 1 PSC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Flemingsburg, KY
  • NPI 1831628783
  Medicare reassignment NPD
• Ambulatory Care Center of Wartburg Primary Care LLC

  • Clinic/Center
  • Wartburg, TN
  • NPI 1427199819
  NPD
• Chad a Conatser MD PLLC

  • Internal Medicine Physician
  • Jamestown, TN
  • NPI 1619423829
  NPD
• Copeland Medical Services

  • Internal Medicine Physician
  • Celina, TN
  • NPI 1386849040
  NPD
• Jamestown Internal Medicine P.C.

  dba Jamestown Internal Medicine

  • Internal Medicine Physician
  • Jamestown, TN
  • NPI 1619016581
  NPD
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Fentress Family Care LLC

  dba Jamestown Family Care Clinic

  • Primary Care Clinic/Center
  • Jamestown, TN
  • NPI 1700411592
  NPD (past)

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

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center at Albany

  • Critical Access Hospital
  • Albany, KY
  • NPI 1598125502
  Care Compare affiliation
• Livingston Hospital and Healthcare Services, Inc.

  • Critical Access Hospital
  • Salem, KY
  • NPI 1588640254
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1376592782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 130",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-526-1050",
            "fax_number": "931-526-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 130",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-526-1050",
            "fax_number": "931-526-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPP",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C0365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "18488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030409",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrystal Inc (Smith Pharmacy)
• CHS Group TN LLC
• Elizabeth Gail Cicutto, P.A.
• Christina L Cieslicki, PHARMD
• Maria Lucy Cigarroa, LPN
• Clarence L Jones MD PC
• Alise M Clark, BEHAVIOR TECHNICIAN
• Samantha Clark
• Stephen Wesley Clark
• Therese Marie Clarke, PTA

• Family Medicine Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.