Individual provider Active NPI

Meridith Jill Clark, P.A.

  • Physician Assistant
  • Tarpon Springs, FL
National Provider Identifier
1730173899
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101273 Issued in FL
Practice address
43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone
(727) 943-3111
Fax
(727) 943-3334
NPI assigned
Sep 6, 2005
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101273 FL Primary

Addresses

Primary practice location

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221

Mailing address

1180 Mariner Blvd
Spring Hill, FL 34609-5603
Phone (727) 943-3111

Other practice location 1

7515 State Road 52 Ste 106
Hudson, FL 34667-6757
Phone (727) 877-7710

Other identifiers 2

IdentifierTypeStateIssuer
P00210547OtherFLMEDICARE RR
292255000MedicaidFL

Other names 1

  • Meridith Babcock Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000216 FL Practitioner - Physician Assistant 5193792596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Center Tampa BayGroup PAC ID 4587170907, 2 clinicians

Practice addresses (Care Compare)

7515 State Rd
52 Suite 106
Hudson, FL 34667-6757
Phone (727) 877-7710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center Tampa Bay CurrentSince Aug 17, 2025 Accepting new patients

Locations

7515 State Road 52
Ste 106
Hudson, FL 34667
Phone (727) 698-4039

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1730173899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095603",
            "telephone_number": "727-943-3111",
            "fax_number": "727-943-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-943-3111",
            "fax_number": "727-943-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 State Road 52 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346676757",
            "country_code": "US",
            "telephone_number": "727-877-7710",
            "fax_number": "727-877-7709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MERIDITH",
        "middle_name": "JILL",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00210547",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292255000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIDITH",
            "last_name": "BABCOCK",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.