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CASEY DANIEL CLARK NP
NPI 1225542558
Nurse Practitioner in Macon, GA

Active since November 22, 2017PECOS Enrolled
100/100
CMS Quality Rating
230 SHERATON BLVD, MACON, GA 31210(478) 474-2947(478) 971-8149 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Casey Daniel Clark Np NPPES

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

CASEY DANIEL CLARK NP (NPI 1225542558) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN214247) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225542558
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCASEY DANIEL CLARKCredential: NP
Location Address230 SHERATON BLVDMacon, GA 31210-1358
Mailing Address230 Sheraton BlvdMacon, GA 31210-1358 · (478) 474-2947 · Fax (478) 971-8149
Phone(478) 474-2947
Fax(478) 971-8149
Sole ProprietorNo
Enumeration DateNovember 22, 2017
✔ NPI 1225542558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN214247
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
230 SHERATON BLVD, Macon, GA 31210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Daniel Clark Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Casey Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nexus Pain Center Of Houston County
21 mi
Specialist
100 JIM MASON CT, STE A
Warner Robins, GA 31088
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1871681957 (478) 474-2947

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

AXIS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
230 SHERATON BLVD, STE B
MACON, GA 31210
Bibb County (478) 474-2947

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 Casey Clark's NPI number?

The NPI number for Casey Clark is 1225542558. It was assigned to this individual provider in the NPPES registry on November 22, 2017.

Where is Casey Clark located?

Casey Clark practices at 230 Sheraton Blvd, Macon, GA 31210. The listed phone number is (478) 474-2947.

What is Casey Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Casey Clark enrolled in Medicare?

Yes. Casey Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Casey Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Clark reassigns Medicare benefits to Nexus Pain Center Of Houston County (Warner Robins, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Clark accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Casey 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.

When was this NPI record last updated?

The NPPES record for Casey Clark was last updated on November 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.