CLARK E PRITTS DO
NPI 1104814946
Family Medicine in Shallotte, NC

Q: What is Clark Pritts's NPI number?

The NPI number for Clark Pritts is 1104814946. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is Clark Pritts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Pritts was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 06, 2005PECOS Enrolled

5145 SELLERS RD, SHALLOTTE, NC 28470(910) 754-4441(910) 754-5307 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Clark E Pritts Do NPPES

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

CLARK E PRITTS DO (NPI 1104814946) is an individual family medicine provider in Shallotte, North Carolina, licensed in North Carolina (200401306) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104814946

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLARK E PRITTSCredential: DO

Location Address5145 SELLERS RDShallotte, NC 28470-3405

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 754-4441 · Fax (910) 754-5307

Phone(910) 754-4441

Fax(910) 754-5307

Sole ProprietorNo

Enumeration DateOctober 6, 2005

Last NPPES UpdateFebruary 20, 2013

✔ NPI 1104814946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 200401306✔ Licensed in MI · 5101009995

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5145 SELLERS RD, Shallotte, NC 28470

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Other Identifiers 6

Other141H5NC · Bcbs Of Nc

Medicaid5903932NC

Medicare PIN2402987BNC

Medicare PIN2402987CNC

Medicare UPINE85223

Medicare PIN2344688HNC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark E Pritts Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Clark Pritts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Medical Group, Inc.

2.0 mi

Urgent Care

4503 MAIN STREET
Shallotte, NC 28470

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Novant Health Medical Group, LLC
83 clinicians in this Medicare group

NPI 1780879544 (910) 755-5440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KATY FLINN JOHNSON PA-C

Physician Assistant