Savannah Emily Clark

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2053 Issued in AL

Practice address

575 Stanton Rd
Mobile, AL 36617-2344

Phone

(251) 471-7207

Fax

(251) 471-7468

NPI assigned

Jul 21, 2021

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health Physician Billing Services LLCGroup PAC ID 9931436912, 342 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

Merit-based Incentive Payment System (MIPS)

Final score

95.28 of 100Reported as group

Quality

85.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• USA Health Physician Billing Services LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1720645468
  Medicare reassignment Care Compare group NPD (past)
• USA Health Physician Billing Services LLC

  dba USA Surgery - Surgical Oncology

  • Surgical Oncology Physician
  • Mobile, AL
  • NPI 1073171237
  NPD
• USA Health Physician Billing Services LLC

  dba USA Radiology

  • Diagnostic Radiology Physician
  • Mobile, AL
  • NPI 1609434067
  NPD

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

• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1598338113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 STANTON RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172344",
            "telephone_number": "251-471-7207",
            "fax_number": "251-471-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SAVANNAH",
        "middle_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ayana Clark
• Katie M Clark, PHARMD
• Maribeth Collard Clark, CRNP
• Marla Clark
• Melanie Helene Clark, MD
• Shawn B Clark, M.D.
• Tonya Lee Clark, PHARM. D
• Lauren Wilson Clarke, CRNP
• Mecquicael Clarke, CRNP
• Ronald W Clarke, MD

• Physician Assistant in Mobile, AL
• Providers in Mobile, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.