NA'ZAE ATHENA CLARK PA-C
NPI 1174234223
Physician Assistant - Medical in Newport News, VA
About Na'zae Athena Clark Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NA'ZAE ATHENA CLARK PA-C (NPI 1174234223) is an individual medical provider in Newport News, Virginia, licensed in Virginia (0110009412) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Na'zae Athena Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Na'zae Clark's NPI number?
The NPI number for Na'zae Clark is 1174234223. It was assigned to this individual provider in the NPPES registry on December 9, 2022.
Where is Na'zae Clark located?
Na'zae Clark practices at 680 Oyster Point Rd Ste 200, Newport News, VA 23606. The listed phone number is (757) 668-4851.
What is Na'zae Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Na'zae Clark enrolled in Medicare?
Yes. Na'zae Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Na'zae Clark was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Na'zae Athena Clark, PA-C · NPI 1174234223
Medical physician in Newport News, Virginia. Individual provider, active in the CMS NPPES registry since December 9, 2022.
## Identity
- **NPI:** 1174234223 (Entity type: Individual)
- **Enumerated:** December 9, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 0110009412 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 680 OYSTER POINT RD STE 200, Newport News, VA 23606-4570
- **Phone:** (757) 668-4851
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Eastern Virginia Medical School, class of 2023
## Record status
- **NPPES last updated:** October 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174234223) · Data from the CMS NPPES public registry.