Trisha Clark, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2605 Welaunee Blvd
Tallahassee, FL 32308-4697

Phone

(850) 877-8174

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

Yes

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.

• Tallahassee Orthopedic Clinic III PL

  • Medical Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1194778050

  FL

  Medicare reassignment NPD
• Tallahassee Orthopedic Clinic III, P.L.

  • Durable Medical Equipment & Medical Supplies
  • Panama City Beach, FL
  • NPI 1497617948
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caresouth HHA Holdings of Tallahassee, LLC

  • Home Health Agency
  • Blountstown, FL
  • NPI 1528283777
  Care Compare affiliation
• Concierge Home Care of Tallahassee LLC

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1285237289
  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725

  Hospital

  Care Compare affiliation
• Tallahassee Medical Center Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303

  Hospital

  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Orthopedic Clinic III PL 538 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
• Concierge Home Care Home health agency, Tallahassee, FL, CCN 687141
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
• Jackson Hospital Hospital, Marianna, FL, CCN 100142

Merit-based Incentive Payment System (MIPS)

Final score

84.5 of 100Reported as group

Quality

69.32

Promoting interoperability

100

Improvement activities

40

Cost

72.03

Merit-based Incentive Payment System (MIPS)

Final score

76.5 of 100Reported as group

Quality

47.27

Promoting interoperability

99

Improvement activities

40

Cost

75.24

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trisha.clark.1@18802.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2024.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1992395974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084470",
            "telephone_number": "850-877-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 WELAUNEE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084697",
            "telephone_number": "850-877-8174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 6th St",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461933",
            "country_code": "US",
            "telephone_number": "850-526-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRISHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9114106",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalayah Sa'Yir Clark
• Leslie Susan Clark, MSW, LCSW
• Mason Samuel Clark
• Robert Coleman Clark, L.M.T., N.C.T.M.B.
• Thomas Lyon Clark, PH.D.
• Shanda Marie Clarke-Folikumah, D.C.
• Bon M Clarke, APRN
• Jessica Mary Brown Clarke, MS CF-SLP
• Vanessa Nicole Clarke, RBT
• Justin Clary, PSY.D.

• All providers in Tallahassee, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.