COURTNEY B CLARK NP
NPI 1376985036
Nurse Practitioner in Lawrenceburg, TN
About Courtney B Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY B CLARK NP (NPI 1376985036) is an individual nurse practitioner in Lawrenceburg, Tennessee, licensed in Tennessee (17501) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Courtney B Clark Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Courtney Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceburg, TN 38464
- Reassigned Medicare billing, Tennessee enrollment
- 2 clinicians in this Medicare group
Columbia, TN 38401
- Reassigned Medicare billing, Tennessee enrollment
- 228 clinicians in this Medicare group
Gallatin, TN 37066
- Reassigned Medicare billing, Tennessee enrollment
- 195 clinicians in this Medicare group
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 38464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
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 Courtney Clark's NPI number?
The NPI number for Courtney Clark is 1376985036. It was assigned to this individual provider in the NPPES registry on July 23, 2013. The provider is also known as Courtney B Clark Np.
Where is Courtney Clark located?
Courtney Clark practices at 2131 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-6545.
What is Courtney Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Courtney Clark enrolled in Medicare?
Yes. Courtney Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Courtney Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Clark reassigns Medicare benefits to 3 organizations: Acacia Dermatology (Lawrenceburg, TN), Maury Regional Medical Group, Inc (Columbia, TN) and Anova Medical Associates, Plc (Gallatin, TN). Each 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 Courtney Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Clark accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Courtney 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 Courtney Clark was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Courtney B Clark, NP · NPI 1376985036
Nurse Practitioner physician in Lawrenceburg, Tennessee. Individual provider, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1376985036 (Entity type: Individual)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 17501 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2131 N LOCUST AVE, Lawrenceburg, TN 38464-4455
- **Phone:** (931) 762-6545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Acacia Dermatology (NPI 1528216314, Lawrenceburg, TN); Maury Regional Medical Group, Inc (NPI 1205886264, Columbia, TN); Anova Medical Associates, Plc (NPI 1659849537, Gallatin, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2025
- **Other identifiers:** Medicaid 3710089 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1376985036) · Data from the CMS NPPES public registry.