Rebecca Scoggin Clark, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006602 Issued in NC

Practice address

413 McConnell St
Jefferson, NC 28640-9772

Phone

(336) 246-9449

Fax

(336) 846-2025

NPI assigned

Nov 16, 2013

Last updated

Nov 25, 2025By the provider in NPPES

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 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, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Appalachian District Health DeptGroup PAC ID 1759281835, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.clark.1@19844.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appalachian District Health Dept

  dba AppHealthCare

  • Public Health or Welfare Agency
  • Boone, NC
  • NPI 1487727459
  Medicare reassignment Care Compare group NPD
• Appalachian District Health Dept

  dba AppHealthCare

  • Public Health or Welfare Agency
  • Jefferson, NC
  • NPI 1427121144
  NPD
• Appalachian District Health Dept

  dba AppHealthCare

  • Public Health or Welfare Agency
  • Sparta, NC
  • NPI 1538270814
  NPD
• Appalachian District Health Department

  dba AppHealthCare

  • State or Local Public Health Clinic/Center
  • Warrensville, NC
  • NPI 1285081562
  NPD (past)
• Daneil Strickland MD

  dba West Jefferson Medical Associates

  • 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
• Watauga Medical Center Inc

  dba Watauga Medical Center

  • 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": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1437589199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400208",
            "telephone_number": "336-246-9449",
            "fax_number": "336-982-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 MCCONNELL ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409772",
            "telephone_number": "336-246-9449",
            "fax_number": "336-846-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "REBECCA",
        "middle_name": "SCOGGIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles W Jones MD PA
• Charles W Jones MD PA Endoscopy Suite
• Charles W Jones MD PA Endoscopy Unit (Charles W Jones MD PA)
• Chauncey B Santos MD PC
• Cathy Griffitts Clark, FNP
• Tina Clark, LPC
• Michele Tidwell Cole, FNP
• County of Ashe (Ashe County EMS)
• County of Ashe (Ashe County Department of Social Services)
• Karen Creed

• 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 25, 2025; 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.