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ALEXA CLARK
NPI 1053043083
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since June 28, 2022PECOS Enrolled
EMORY UNIVERSITY SCHOOL OF MEDICINE,100 WOODRUFF CIRCLE, ATLANTA, GA 30322(404) 727-5655 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Alexa Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA CLARK (NPI 1053043083) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053043083
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXA CLARK
Location AddressEMORY UNIVERSITY SCHOOL OF MEDICINE,100 WOODRUFF CIRCLEAtlanta, GA 30322-0001
Mailing AddressEmory University School Of Medicine,100 Woodruff CircleAtlanta, GA 30322-0001 · (404) 727-5655
Phone(404) 727-5655
Sole ProprietorNo
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1053043083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
EMORY UNIVERSITY SCHOOL OF MEDICINE,100 WOODRUFF CIRCLE, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexa Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexa Clark's NPI number?

The NPI number for Alexa Clark is 1053043083. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Alexa Clark located?

Alexa Clark practices at Emory University School Of Medicine,100 Woodruff Circle, Atlanta, GA 30322. The listed phone number is (404) 727-5655.

What is Alexa Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alexa Clark enrolled in Medicare?

Yes. Alexa Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexa Clark was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.