COURTNEY MEADOWS CLARK PA
NPI 1477079085
Physician Assistant in Cordova, TN

Q: What is Courtney Clark's NPI number?

The NPI number for Courtney Clark is 1477079085. It was assigned to this individual provider in the NPPES registry on August 15, 2017. The provider is also known as Courtney Breanne Meadows PA.

Q: What is Courtney Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Courtney Clark was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment

8000 CENTERVIEW PKWY STE 301, CORDOVA, TN 38018(901) 752-4900(901) 752-4902 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Apr 24, 2019, Aug 15, 2017 (3 updates tracked since 2017).

On this page

About Courtney Meadows Clark Pa NPPES

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

COURTNEY MEADOWS CLARK PA (NPI 1477079085) is an individual physician assistant in Cordova, Tennessee, licensed in Tennessee (3365) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477079085

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCOURTNEY MEADOWS CLARKCredential: PA

Location Address8000 CENTERVIEW PKWY STE 301Cordova, TN 38018-4131

Mailing Address8000 Centerview Pkwy Ste 301Cordova, TN 38018-4131 · (901) 752-4900 · Fax (901) 752-4902

Phone(901) 752-4900

Fax(901) 752-4902

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 15, 2017

Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1477079085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 3365

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.

8000 CENTERVIEW PKWY STE 301, Cordova, TN 38018

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Other Names 1

Former Name (1)Courtney Breanne Meadows Pa

Other Identifiers 1

MedicaidT1261618TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Courtney Meadows Clark Pa 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 ID3476828856

PECOS Enrollment IDI20171011001484

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 38018 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 6

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

HUSAIN ABBAS RAZVI

Counselor (Mental Health)