1. Home
  2. Directory
  3. Alabama
  4. Gadsden
  5. Physician Assistant
  6. NPI Profile

MCKENZIE T CLARK
NPI 1306578828
Physician Assistant in Gadsden, AL

Active since June 24, 2022PECOS EnrolledAccepts Medicare Assignment
105 CLEVELAND CT, GADSDEN, AL 35901(256) 295-0473 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenzie T Clark NPPES

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

MCKENZIE T CLARK (NPI 1306578828) is an individual physician assistant in Gadsden, Alabama, licensed in Alabama (PA.2747) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306578828
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENZIE T CLARK
Location Address105 CLEVELAND CTGadsden, AL 35901-4116
Mailing Address105 Cleveland CtGadsden, AL 35901-4116
Phone(256) 295-0473
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 24, 2022
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1306578828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · PA.2747
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
105 CLEVELAND CT, Gadsden, AL 35901
Open in Google Maps ↗

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

Mckenzie T Clark 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 ID2961926647
PECOS Enrollment IDI20250403003817
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mckenzie Clark's NPI number?

The NPI number for Mckenzie Clark is 1306578828. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Mckenzie Clark located?

Mckenzie Clark practices at 105 Cleveland Ct, Gadsden, AL 35901. The listed phone number is (256) 295-0473.

What is Mckenzie Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mckenzie Clark enrolled in Medicare?

Yes. Mckenzie 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.

When was this NPI record last updated?

The NPPES record for Mckenzie Clark was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.