Individual provider Active NPI

Linda Marie Clark, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1629468533
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19632 Issued in TN
Practice address
1300 Wesley Dr
Memphis, TN 38116-6426
Phone
(901) 516-3205
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19632 TN Primary

Addresses

Primary practice location

1300 Wesley Dr
Memphis, TN 38116-6426

Mailing address

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150420001113 TN Practitioner - Nurse Practitioner 0042538217 Reassigns benefits to 6 organizations
I20161020000222 MS Practitioner - Nurse Practitioner 0042538217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Getwell Urgent Care, LLCGroup PAC ID 0143533315, 5 clinicians

Practice addresses (Care Compare)

6752 Getwell Rd
Southaven, MS 38672-6403
Phone (662) 796-1111

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
77.92
Improvement activities
40
Cost
82.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19632TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC CurrentSince Dec 1, 2015 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Feb 15, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Feb 15, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Feb 15, 2024 Accepting new patients
Getwell Urgent Care, LLC CurrentSince Oct 7, 2016 Accepting new patients
T M Carr MD PC CurrentSince Apr 1, 2015 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Mar 15, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Feb 14, 2024 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

6752 Getwell Rd
Southaven, MS 38672
Phone (662) 796-1111

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Interoperability endpoints

  • Direct secure messaging: lclark29277@mlh.direct-ci.com
  • Direct secure messaging: linda.clark.1@9626.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1629468533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WESLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166426",
            "telephone_number": "901-516-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166426",
            "telephone_number": "901-516-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.