Jamie Clark

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001128 Issued in VA

Practice address

7051 Heathcote Village Way
Gainesville, VA 20155-3196

Phone

(703) 754-0951

Fax

(703) 754-8941

NPI assigned

Apr 7, 2008

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 VA, WV2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Audiology of Virginia LLCGroup PAC ID 8123506227, 4 clinicians

Mobile Audiology of West Virginia PLLCGroup PAC ID 4981967346, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• 360Care Audiology of Virginia LLC

  • Audiologist
  • Richmond, VA
  • NPI 1821988031
  Medicare reassignment Care Compare group NPD
• Mobile Audiology of West Virginia PLLC

  • Hearing and Speech Clinic/Center
  • Charleston, WV
  • NPI 1124537766
  Medicare reassignment Care Compare group NPD
• Audiology and Hearing Aid Center of Gainesville, PLLC

  • Audiologist
  • Manassas, VA
  • NPI 1841387016
  Medicare reassignment NPD
• Mle Pastore, LLC

  dba Audiolgy and Hearing Aid Center of Gainesville

  • Assistive Technology Supplier Audiologist
  • Gainesville, VA
  • NPI 1780422410
  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment NPD
• James Madison University

  • Audiologist
  • Harrisonburg, VA
  • NPI 1356882690
  NPD
• James Madison University

  dba Rural Health Psychology Clinic

  • Clinical Psychologist
  • Luray, VA
  • NPI 1730642000
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1851564348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 245",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553266",
            "telephone_number": "703-745-0951",
            "fax_number": "703-745-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553196",
            "telephone_number": "703-754-0951",
            "fax_number": "703-754-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Chu, LMFT
• Philip R Chung, M.D.
• Monica Chwojdak, LPC
• Clarity Counseling, LLC
• Avery Tarynn Clark, BSN, RN
• Marie Clonts
• CN Counseling, PLLC
• Abigail Cobbina
• Commonwealth Sleep Center, LLC
• Community Care Networks

• Audiologist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.