Abby Sabrina Clark, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP20033496 Issued in TX

Practice address

1215 S Coulter St Ste 100
Amarillo, TX 79106-1761

Phone

(806) 359-4701

NPI assigned

May 6, 2009

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 names 1

• Abby Sabrina Leake Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amarillo Family Physicians Clinic, P.a.Group PAC ID 2163518390, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
• Centerwell Home Health Home health agency, Amarillo, TX, CCN 457590
• Interim Healthcare of Amarillo Home health agency, Amarillo, TX, CCN 459426
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abbyclark@afpcpa.allscriptsdirect.net

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.

• Amarillo Family Physicians Clinic, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1669522249
  Medicare reassignment Care Compare group NPD

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

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Camden Bay LTD

  • Home Health Agency
  • Amarillo, TX
  • NPI 1245426527
  Care Compare affiliation
• Healthcare of West Texas LLC

  • Home Health Agency
  • Amarillo, TX
  • NPI 1437104221
  Care Compare affiliation
• Integracare of West Texas-Home Health, LLC

  • Home Health Agency
  • Amarillo, TX
  • NPI 1174755151
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1467686394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-359-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-359-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ABBY",
        "middle_name": "SABRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP20033496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "LEAKE",
            "middle_name": "SABRINA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chukwuemeka Chukwurah Jr., PHARM D
• Satish Chuttoo, DDS
• Cindy I. Hutson, D.O., P.a.
• Stacy Cirone, RNFA
• City of Amarillo
• Anita M Clark, FNP-C
• Crandon F Clark, MD
• Elizabeth Clark, MA, LPC
• Jarrod Clark, PHARMD
• Kathleen Anne Clark, M.D.

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.