Active NPI
Amy T Clark, MD
- Family Medicine Physician
- Muscle Shoals, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.34340
- Practice address
- 203 Avalon Ave
Suite 120
Muscle Shoals, AL 35661-2869 - Phone
- (256) 383-6070
- Fax
- (256) 381-4022
- NPI assigned
- Jul 8, 2011
- Last updated
- Sep 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.34340 | AL | Primary |
Addresses
Primary practice location
203 Avalon Ave
Suite 120
Muscle Shoals, AL 35661-2869
Mailing address
PO Box 298
Florence, AL 35631-0298
Phone (256) 767-7494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01332517 | Other | MS | RAILROAD MEDICARE |
| 03808531 | Medicaid | MS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Fitness Way
Suite 2500
Athens, AL 35611-2484
Phone (256) 434-4095
22454 US Hwy 72
Suite 310
Athens, AL 35613-2678
Phone (256) 216-9744
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.34340 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Healthcare Alabama LLC | Current | Accepting new patients | |
| Athens Community Care | Family Medicine | Current | Accepting new patients |
| Hometown Family Care | Family Medicine | Current | Accepting new patients |
| Shoals Primary Care, LLC | Family Medicine | Current | Accepting new patients |
| Singing River Healthcare, LLC | Past | Accepting new patients |
Locations
101 Fitness Way
Ste 2500
Athens, AL 35611
Phone (256) 262-2170
22454 US Highway 72
Ste 310
Athens, AL 35613
Phone (256) 216-9744
102 Physicians Dr
Ste A
Muscle Shoals, AL 35661
Phone (256) 286-4026
342 Cox Blvd
Sheffield, AL 35660
Phone (256) 383-4473
1404 E Avalon Ave
Ste B1
Tuscumbia, AL 35674
Phone (256) 381-4400
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Athens, AL
- NPI 1063092856
-
- Family Medicine Physician
- Athens, AL
- NPI 1235019399
-
- Family Medicine Physician
- Sheffield, AL
- NPI 1326373861
-
dba Pathway Healthcare Hartselle
- Addiction Medicine (Family Medicine) Physician
- Birmingham, AL
- NPI 1053855122
-
- General Practice Physician
- Florence, AL
- NPI 1013330216
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aveanna Home Health
- Home Health Agency
- Athens, AL
- NPI 1659078236
-
dba Athens Limestone Hospital
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1386931509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356310298",
"telephone_number": "256-767-7494",
"fax_number": "256-760-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 AVALON AVE",
"address_2": "SUITE 120",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612869",
"telephone_number": "256-383-6070",
"fax_number": "256-381-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "AMY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.34340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01332517",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03808531",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.