CALLIE CLARK NP
NPI 1487114484
Nurse Practitioner in Birmingham, AL
About Callie Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALLIE CLARK NP (NPI 1487114484) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-166451) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 and accepts Medicare assignment
Callie Clark Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Callie Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 99 clinicians in this Medicare group
Birmingham, AL 35209
- Reassigned Medicare billing, Alabama enrollment
- 162 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
BIRMINGHAM, AL 35209
HOMEWOOD, AL 35209
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 Callie Clark's NPI number?
The NPI number for Callie Clark is 1487114484. It was assigned to this individual provider in the NPPES registry on March 25, 2019. The provider is also known as Callie Mobley Np.
Where is Callie Clark located?
Callie Clark practices at 1 Independence Plaza Ste 900, Birmingham, AL 35209. The listed phone number is (205) 271-8000.
What is Callie Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Callie Clark enrolled in Medicare?
Yes. Callie 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.
Which organizations bill Medicare for Callie Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Callie Clark reassigns Medicare benefits to 2 organizations: Birmingham Gastroenterology Associates PC (Birmingham, AL) and Gastroenterology Associates Of North-Central Alabama Inc (Birmingham, AL). 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 Callie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Callie Clark accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Callie 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 Callie Clark was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Callie Clark, NP · NPI 1487114484
Nurse Practitioner physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1487114484 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1-166451 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 INDEPENDENCE PLAZA, STE 900, Birmingham, AL 35209
- **Phone:** (205) 271-8000 · **Fax:** (205) 271-8050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Birmingham Gastroenterology Associates PC (NPI 1861926131, Birmingham, AL); Gastroenterology Associates Of North-Central Alabama Inc (NPI 1528080595, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487114484) · Data from the CMS NPPES public registry.