Adam D Clark, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0010-01061 Issued in NC

Practice address

1600 Medical Dr
Laurinburg, NC 28352-5524

Phone

(910) 277-9164

Fax

(910) 277-9189

NPI assigned

Oct 5, 2007

Last updated

May 16, 2011By 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 1

Addresses

Other identifiers 1

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

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adamclark@fhss.allscriptsdirect.net
• Direct secure messaging: adamclark@sas.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment Care Compare group NPD
• MCPC-10, LLC

  dba Firsthealth Cardiovascular & Thoracic Services

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pinehurst, NC
  • NPI 1457600504
  Medicare reassignment NPD
• Pinehurst Surgical Clinic PA

  • Surgery Physician
  • Pinehurst, NC
  • NPI 1962434324
  Medicare reassignment NPD
• Scotland Regional Health Network

  dba Carolinas Hospitalist Group - Scotland

  • Hospitalist Physician
  • Laurinburg, NC
  • NPI 1972829562
  Medicare reassignment NPD
• MCPC-9, LLC

  dba FirstHealth Surgical Specialties

  • Orthopaedic Surgery Physician
  • Rockingham, NC
  • NPI 1487919973
  Medicare reassignment
• North Carolina Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Laurinburg, NC
  • NPI 1003861386
  NPD
• Scotland Memorial Hospital Inc

  dba Sterling Surgical Services

  • Surgery Physician
  • Laurinburg, NC
  • NPI 1104918754
  NPD
• Scotland Memorial Hospital Inc.

  dba Scotland Memorial Hospitalist

  • Hospitalist Physician
  • Laurinburg, NC
  • NPI 1033103767
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgical Critical Care Physician
  • Laurinburg, NC
  • NPI 1164726105
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgery Physician
  • Pembroke, NC
  • NPI 1891135067
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgery Physician
  • Bennettsville, SC
  • NPI 1942962113
  NPD
• FHPG, LLC

  dba FirstHealth Moore Regional Hospital Professional Services

  • Specialist
  • Pinehurst, NC
  • NPI 1770512865
  NPD (past)

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

• Scotland Memorial Hospital Inc

  • General Acute Care Hospital
  • Laurinburg, NC
  • NPI 1457345597
  Care Compare affiliation

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1386832194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283532257",
            "telephone_number": "910-277-9164",
            "fax_number": "910-277-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525524",
            "telephone_number": "910-277-9164",
            "fax_number": "910-277-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-01061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0010-01061",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Treatment Center Inc (Scotland House)
• Christian Faith Home Care Agency
• Marc Christiansen, MARC CHRISTIANSEN
• Naomi Chun, OD
• Carla Clark-McRae, LCSW
• Candice Clark, LCSWA
• Kristy Clark
• Sheila Green Clark, CFM
• Hope McKee Cole, PA-C
• Community Innovations

• Surgical Physician Assistant in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.