LYNDSAY CLARK PA
NPI 1174175202
Physician Assistant - Surgical in Charlotte, NC

Q: What is Lyndsay Clark's NPI number?

The NPI number for Lyndsay Clark is 1174175202. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Q: What is Lyndsay Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Lyndsay Clark was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment

225 BALDWIN AVE, CHARLOTTE, NC 28204(704) 376-1605 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2022, Apr 12, 2022, Feb 11, 2022 and 27 more (30 updates tracked since 2019).

On this page

About Lyndsay Clark Pa NPPES

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

LYNDSAY CLARK PA (NPI 1174175202) is an individual surgical provider in Charlotte, North Carolina, licensed in North Carolina (0010-09204) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174175202

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLYNDSAY CLARKCredential: PA

Location Address225 BALDWIN AVECharlotte, NC 28204-3109

Mailing Address225 Baldwin AveCharlotte, NC 28204-3109 · (704) 376-1605

Phone(704) 376-1605

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2019

Enumeration DateJuly 9, 2019

Last NPPES UpdateApril 21, 202230 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1174175202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NC · 0010-09204

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-09204 (NC)

225 BALDWIN AVE, Charlotte, NC 28204

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

Location 21025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-1813

Location 3101 E Wt Harris Blvd, Ste 5500ACharlotte, NC 28262-3485 · Phone (704) 863-1520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lyndsay Clark Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42643165

PECOS Enrollment IDI20230911001157

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

55 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

28 services27 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

19 services14 patients

X-ray of skull, 1-3 views 70250

An X-ray of the skull involves capturing images of the bones and tissues in your head. This test helps identify issues like fractures, infections, or tumors. The '1-3 views' means pictures will be taken from one to three different angles for a comprehensive assessment.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340130

Location600 Hospital DrMonroe, NC 28112 · Union County

Emergency services Birthing friendly

Leave this field empty

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.

VINCENT JACK ROSSI M.D.

Neurological Surgery