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JESSICA AUTUMN CLARK
NPI 1104560317
Internal Medicine - Hospice and Palliative Medicine in Huntsville, AL

Active since April 24, 2022PECOS Enrolled
101 SIVLEY RD SW, HUNTSVILLE, AL 35801(256) 265-1000 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Apr 24, 2022 (2 updates tracked since 2022).

About Jessica Autumn Clark NPPES

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

JESSICA AUTUMN CLARK (NPI 1104560317) is an individual hospice and palliative medicine provider in Huntsville, Alabama, licensed in Alabama (4187) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104560317
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameJESSICA AUTUMN CLARK
Location Address101 SIVLEY RD SWHuntsville, AL 35801-4470
Mailing Address101 Sivley Rd SwHuntsville, AL 35801-4470 · (256) 265-1000
Phone(256) 265-1000
Sole ProprietorNo
Enumeration DateApril 24, 2022
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1104560317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in AL · 4187
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4187 (AL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 SIVLEY RD SW, Huntsville, AL 35801
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Secondary Practice Locations 2

Location 1860 S Madison StTupelo, MS 38801-4905 · Phone (615) 513-4978
Location 21802 6th Ave SBirmingham, AL 35233-1932 · Phone (205) 934-2411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Autumn 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN CLAY OSBORNE JR. M.D.
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 539-9471
DR. MICHAEL FREDERICK DONZE JR. D.O.
Hospitalist
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 801-6047
HOWARD MASON ROBERTSON JR. M.D.
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MELISSA PIROFSKY RICKETTS CRNP
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-3360
CASEY ZOLLO
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
JEREMY WHALEY
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MIRIAM MARIE KNIGHT CRNP
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MRS. JULIE D MCCOY CRNA
Nurse Anesthetist, Certified Registered
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000

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 Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1104560317. It was assigned to this individual provider in the NPPES registry on April 24, 2022.

Where is Jessica Clark located?

Jessica Clark practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 265-1000.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Jessica Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.