BEVERLY W CLARK FNP-C
NPI 1184387672
Nurse Practitioner - Family in Macon, MS

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment
78 HOSPITAL RD, MACON, MS 39341(662) 361-8338 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2022, Nov 4, 2021, Oct 21, 2021 (3 updates tracked since 2021).

About Beverly W Clark Fnp-c NPPES

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

BEVERLY W CLARK FNP-C (NPI 1184387672) is an individual family provider in Macon, Mississippi, licensed in Mississippi (904987) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Noxubee General Critical Access Hosp, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184387672
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVERLY W CLARKCredential: FNP-C
Location Address78 HOSPITAL RDMacon, MS 39341-2490
Mailing Address4735 Highway 490 RdMacon, MS 39341-9366 · (662) 361-8338
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
NPI 1184387672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 904987
78 HOSPITAL RD, Macon, MS 39341

Other Names 1

Former Name (1)Beverly Darlene White

Accepted 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

Beverly W Clark Fnp-c 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 ID1355717455
PECOS Enrollment IDI20221014000264
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.

Hospital Affiliations CMS Care Compare

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

Noxubee General Critical Access Hosp

Critical Access Hospitals · Macon, MS
OwnershipGovernment - State
CMS Certification Number251307
Location78 Hospital RoadMacon, MS 39341 · Noxubee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39341 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
78 HOSPITAL RD
MACON, MS 39341
Occupational Therapist
78 HOSPITAL RD
MACON, MS 39341
Occupational Therapist
78 HOSPITAL RD
MACON, MS 39341
Physical Therapist
78 HOSPITAL RD
MACON, MS 39341
Pharmacist
78 HOSPITAL RD
MACON, MS 39341
Nurse Practitioner (Family)
78 HOSPITAL RD
MACON, MS 39341
Nurse Practitioner (Family)
78 HOSPITAL RD
MACON, MS 39341
Speech-Language Pathologist
78 HOSPITAL RD
MACON, MS 39341

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 Beverly Clark's NPI number?

The NPI number for Beverly Clark is 1184387672. It was assigned to this individual provider in the NPPES registry on October 21, 2021. The provider is also known as Beverly Darlene White.

Where is Beverly Clark located?

Beverly Clark practices at 78 Hospital Rd, Macon, MS 39341. The listed phone number is (662) 361-8338.

What is Beverly Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beverly Clark enrolled in Medicare?

Yes. Beverly Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Beverly Clark accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Beverly Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Beverly Clark affiliated with any hospitals?

According to CMS data, Beverly Clark is affiliated with Noxubee General Critical Access Hosp.

When was this NPI record last updated?

The NPPES record for Beverly Clark was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.