LYNDSAY CLARK PA
NPI 1174175202
Physician Assistant - Surgical in Charlotte, NC
NPI Status: Active since July 09, 2019
Contact Information
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
Phone: (704) 376-1605
- Individual
- Female
- Years of Experience 7
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LYNDSAY CLARK
This page provides the complete NPI Profile along with additional information for Lyndsay Clark, a provider established in Charlotte, North Carolina with a medical specialization in Physician Assistant, focusing in surgical and more than 7 years of experience. She graduated from Wake Forest University School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1174175202 assigned on July 2019. The practitioner's primary taxonomy code is 363AS0400X with license number 0010-09204 (NC). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1174175202
- Provider Name
- LYNDSAY CLARK PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 225 BALDWIN AVE CHARLOTTE, NC 28204
- Location Phone
- (704) 376-1605
- Mailing Address
- 225 BALDWIN AVE CHARLOTTE, NC 28204
- Mailing Phone
- (704) 376-1605
- Medical School Name
- WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-09-2019
- Last Update Date
- 04-21-2022
- Code Navigator
Location Map
Secondary Locations
- 1350 S Kings Dr
Charlotte, NC 28207
(704) 446-1255 - 101 E Wt Harris Blvd Ste 5500A
Charlotte, NC 28262
(704) 863-1520 - 1350 S Kings Dr
Charlotte, NC 28207
(704) 446-4490 - 1025 Morehead Medical Dr Ste 300
Charlotte, NC 28204
(704) 355-1813
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0010-09204
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 0010-09204 (NC) |
2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- InHealth Basic 1 - HMO
- InHealth Basic 1 + Adult Vision - HMO
- InHealth Basic 2 - HMO
- InHealth Basic Plus Standard - HMO
- InHealth Basic Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lyndsay Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Lyndsay Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 42643165
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230911001157
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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.
This service was performed 27 times for 25 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 22 times for 13 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lyndsay Clark is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
CAROLINAS MEDICAL CENTER/BEHAV HEALTH | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 | (704) 355-2000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 7 | 4 | 1 | 7 | 5 | 2 | 0 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 14 | 4 | 2 | 7 | 10 | 2 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 4 + 4 + 2 + 7 + 1 + 0 + 2 + 0 + 24 = 48 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 48 = 2 | 2 |
The NPI number 1174175202 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LISA M NORMAN P.T.
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
MRS. LISA MATHLEY SCHLOEDER RN
Registered Nurse
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
CRAIG ANDREW VANDERVEER MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
CHARLES SCOTT MCLANAHAN MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
MICHAEL DANIEL HEAFNER MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
ALEXANDRIA MASON HOPKINS ANP
Nurse Practitioner
(Adult Health)
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
DAVID LEN MONTGOMERY P.T.
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
DOMAGOJ CORIC MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
SAMUEL J CHEWNING JR. M.D.
Orthopaedic Surgery
(Orthopaedic Surgery of the Spine)
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
JOHN ARTHUR WELSHOFER MD
Physical Medicine & Rehabilitation
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
AMANDA GORDON CANCILLA NP
Nurse Practitioner
(Acute Care)
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
JOHN EDWARD ZIEWACZ M.D.
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
STUART TAYLOR JARRELL MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
ANDREW T HEALY MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
MARTIN MCMILLAN HENEGAR MD
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
SANJIV SHASHANK LAKHIA DO
Physical Medicine & Rehabilitation
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
SAMEER VEMURI MD
Physical Medicine & Rehabilitation
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
MATTHEW JOSEPH MCGIRT M.D.
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
MEGAN M LUKEY
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174175202, enumerated as an "individual" on July 09, 2019.
The provider is located at 225 BALDWIN AVE CHARLOTTE, NC 28204 and the phone number is (704) 376-1605.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to verify.
Lyndsay Clark is affiliated with: CAROLINAS MEDICAL CENTER/BEHAV HEALTH.