Callie Clark, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-166451 Issued in AL

Practice address

1 Independence Plaza
Ste 900
Birmingham, AL 35209

Phone

(205) 271-8000

Fax

(205) 271-8050

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Callie Mobley Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Gastroenterology Associates PCGroup PAC ID 9537107594, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.94 of 100Reported as group

Quality

56.16

Promoting interoperability

86

Improvement activities

40

Cost

78.63

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: callieclark@bgapc.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.

• Birmingham Gastroenterology Associates PC

  • Gastroenterology Physician
  • Birmingham, AL
  • NPI 1366406514

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Gastroenterology Associates of North-Central Alabama Inc

  • Specialist
  • Birmingham, AL
  • NPI 1528080595

  Single Specialty

  Medicare reassignment NPD
• Birmingham Gastroenterology Associates PC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1861926131
  NPD
• Gastroenterology Associates of North-Central Alabama Inc

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1912446105
  NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1487114484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "STE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092643",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLAZA",
            "address_2": "STE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-271-8000",
            "fax_number": "205-271-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CALLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1166451",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1166451",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-166451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "MOBLEY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allyson Danay Clark
• Amber Nichelle Clark, M.D.
• Ansley Byars Clark, DMD
• Ashley Mezzanares Clark, CRNA
• Brittney Clark, M.D.
• Catherine Clark
• Charles Brendan Clark, PHD
• Charles H Clark III, MD
• Christopher Michael Clark, M.D.
• Dennis Mark Clark, D.M.D., M.D

• Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.