Individual provider Active NPI

Ashley Pearl Clower, M.D.

  • Pediatrics Physician
  • Kill Devil Hills, NC
National Provider Identifier
1922454495
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2019-01788 Issued in NC
Practice address
400 S Croatan Hwy
Kill Devil Hills, NC 27948-8895
Phone
(252) 261-1304
Fax
(252) 565-0534
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2019-01788 NC Primary

Addresses

Primary practice location

400 S Croatan Hwy
Kill Devil Hills, NC 27948-8895

Mailing address

5107 N Croatan Hwy
Kitty Hawk, NC 27949-3989
Phone (252) 255-5321

Other practice location 1

5107 N Croatan Hwy Ste 202
Kitty Hawk, NC 27949-3989
Phone (252) 255-5321

Other practice location 2

5107 N Croatan Hwy Ste 101
Kitty Hawk, NC 27949-3989
Phone (252) 255-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160617000024 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9931490281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-01788NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surf Pediatrics and Medicine PC Pediatrics CurrentSince Jan 10, 2014 Accepting new patients

Locations

400 S Croatan Hwy
Kill Devil Hills, NC 27948
Phone (252) 441-7870

5107 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5321

5107 N Croatan Hwy
Ste 202
Kitty Hawk, NC 27949
Phone (252) 255-5321

5107 N Croatan Hwy
Ste 101
Kitty Hawk, NC 27949
Phone (252) 255-5321

100 E Dune St
Nags Head, NC 27959
Phone (252) 449-5200

Organizations & group practices 1

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1922454495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493989",
            "telephone_number": "252-255-5321",
            "fax_number": "252-565-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279488895",
            "telephone_number": "252-261-1304",
            "fax_number": "252-565-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 N Croatan Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493989",
            "country_code": "US",
            "telephone_number": "252-255-5321",
            "fax_number": "252-565-0534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5107 N Croatan Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493989",
            "country_code": "US",
            "telephone_number": "252-255-5321",
            "fax_number": "252-565-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOWER",
        "first_name": "ASHLEY",
        "middle_name": "PEARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2019-01788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kill Devil Hills, NC

Sources for this page

Verify at the official NPI Registry.