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

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  • 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
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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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

0010-09204 (NC)
2363A00000XPhysician 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

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 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion

Spine 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 patients

Find 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 HEALTH1000 BLYTHE BLVD
CHARLOTTE, NC 28203
(704) 355-2000Acute Care Hospitals

Reviews for LYNDSAY CLARK PA

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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.
1174175202
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144271020
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 = 22

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

(704) 376-1605

MRS. LISA MATHLEY SCHLOEDER RN

Registered Nurse

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

CRAIG ANDREW VANDERVEER MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

CHARLES SCOTT MCLANAHAN MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

MICHAEL DANIEL HEAFNER MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

ALEXANDRIA MASON HOPKINS ANP

Nurse Practitioner

(Adult Health)

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

DAVID LEN MONTGOMERY P.T.

Physical Therapist

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

DOMAGOJ CORIC MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

SAMUEL J CHEWNING JR. M.D.

Orthopaedic Surgery

(Orthopaedic Surgery of the Spine)

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

JOHN ARTHUR WELSHOFER MD

Physical Medicine & Rehabilitation

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

AMANDA GORDON CANCILLA NP

Nurse Practitioner

(Acute Care)

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

JOHN EDWARD ZIEWACZ M.D.

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

STUART TAYLOR JARRELL MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

ANDREW T HEALY MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

MARTIN MCMILLAN HENEGAR MD

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

SANJIV SHASHANK LAKHIA DO

Physical Medicine & Rehabilitation

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

SAMEER VEMURI MD

Physical Medicine & Rehabilitation

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

MATTHEW JOSEPH MCGIRT M.D.

Neurological Surgery

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

MEGAN M LUKEY

Physical Therapist

225 BALDWIN AVE
CHARLOTTE, NC
ZIP 28204

(704) 376-1605

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.