GENESIS MEDICAL PLLC
NPI 1578174074
Anesthesiology - Pain Medicine in Ardmore, OK

Q: What is Genesis Medical PLLC's NPI number?

The NPI number for Genesis Medical PLLC is 1578174074. It was assigned to this organization in the NPPES registry on August 10, 2020.

Q: What is Genesis Medical PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since August 10, 2020

2002 12TH AVE NW STE B, ARDMORE, OK 73401(580) 221-2022(580) 221-2024 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 26, 2025, Aug 10, 2020 (2 updates tracked since 2020).

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About Genesis Medical Pllc NPPES

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

GENESIS MEDICAL PLLC (NPI 1578174074) is a healthcare organization registered as a pain medicine in Ardmore, Oklahoma and active in the NPI registry since August 2020. The organization lists Sherry Lynne Clark, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1578174074

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameGENESIS MEDICAL PLLC

Location Address2002 12TH AVE NW STE BArdmore, OK 73401-1206

Mailing Address2002 12th Ave Nw Ste BArdmore, OK 73401-1206 · (580) 221-2022 · Fax (580) 221-2024

Phone(580) 221-2022

Fax(580) 221-2024

Organization SubpartNo

Authorized OfficialSherry Lynne ClarkBilling/credentialing · (580) 223-5180

Enumeration DateAugust 10, 2020

Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1578174074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

2002 12TH AVE NW STE B, Ardmore, OK 73401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Genesis Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ashley Brown, APRN- CNP

Nurse Practitioner

NPI 1427566009

2002 12TH AVE NW STE B
Ardmore, OK 73401

(580) 221-2022

✔ PECOS✔ Accepts MedicareSame address

Joshua Gordon, D.O.

Anesthesiology

NPI 1972037877

2002 12TH AVE NW STE B
Ardmore, OK 73401

(580) 221-2022

✔ PECOS✔ Accepts MedicareSame address

Adam Savage, M.D.

Anesthesiology

NPI 1013150481

731 12TH AVE NW SUITE 302
Ardmore, OK 73401

(580) 220-6200

✔ PECOS✔ Accepts Medicare0.7 mi

Jamie Spence, APRN - CNS

Certified Clinical Nurse Specialist (CNS)

NPI 1861845190

731 12TH AVE NW STE 302
Ardmore, OK 73401

(580) 220-6200

✔ PECOS✔ Accepts Medicare0.7 mi

Delisa Morgan, APRN/CNP

Nurse Practitioner

NPI 1356778534

1324 N HARVILLE RD
Duncan, OK 73533

(580) 252-1373

✔ PECOS✔ Accepts Medicare52 mi

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

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 Genesis Medical PLLC's NPI number?

The NPI number for Genesis Medical PLLC is 1578174074. It was assigned to this organization in the NPPES registry on August 10, 2020.

Where is Genesis Medical PLLC located?

Genesis Medical PLLC is located at 2002 12th Ave NW Ste B, Ardmore, OK 73401. The listed phone number is (580) 221-2022.

What is Genesis Medical PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Genesis Medical PLLC enrolled in Medicare?

Yes. Genesis Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Genesis Medical PLLC, in Anesthesiology, Certified Clinical Nurse Specialist (CNS) and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Medical PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.