Clark M. Pollitt, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0087461 Issued in FL

Practice address

5151 N 9TH Ave
Pensacola, FL 32504-8721

Phone

(850) 416-6020

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

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

Diagnostic Radiology

Education

East Tennessee State University Quillen College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pensacola Radiology Consultants PAGroup PAC ID 9537073283, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Pensacola Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1548291628
  Medicare reassignment Care Compare group NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment NPD
• Rose Radiology Centers, LLC

  dba Akumin

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment NPD
• Southeast Radiology Partners LTD

  dba Radiology Associates of Tallahassee

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1932799814
  Medicare reassignment NPD
• Tallahassee Diag Imaging Ctr LTD

  dba Tallahassee Diagnostic Imaging LTD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
  • NPI 1639129521
  Medicare reassignment NPD
• Pet LLC

  dba The PET/CT Imaging Center of Northwest Florida

  • Nuclear Radiology Physician
  • Pensacola, FL
  • NPI 1235148578
  NPD Authorized official
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Hillcrest Imaging Center LLC

  • Diagnostic Radiology Physician
  • Vernon, TX
  • NPI 1649881863
  NPD
• Houston Premier Radiology Center Inc.

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1255624847
  NPD
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)
• Open MRI and CT Specialists of Stockbridge

  • Nuclear Radiology Physician
  • Stockbridge, GA
  • NPI 1871544098

  Diagnostic Radiology

  NPD (past)
• Quantum Radiology, PC

  • Diagnostic Radiology Physician
  • Marietta, GA
  • NPI 1366495988
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1629036348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9210",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325139210",
            "telephone_number": "850-476-8602",
            "fax_number": "850-474-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048721",
            "telephone_number": "850-416-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLITT",
        "first_name": "CLARK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0087461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00030956",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "68370",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79165",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA EDS MEDICAID",
            "identifier": "009926705",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267017800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Jerrell Poindexter
• Justin Dana Poissant, D.O.
• Lisa Ann Poissant, LMHC
• Michael Polazzo
• Diana Caryn Polizo, PA-C
• Courtney Ann Pollman-Turner, PSYD
• William Pollock, M.D.
• Ashley Michelle Pombo, APRN
• Jacqueline Moore Pommerening, OTR/L
• Chandni Pooran, MD

• Diagnostic Radiology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.