CAMERON TAYLOR CLARK PA-C
NPI 1639795487
Physician Assistant in High Point, NC

Q: What is Cameron Clark's NPI number?

The NPI number for Cameron Clark is 1639795487. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Q: What is Cameron 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 Cameron Clark was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 June 17, 2020PECOS EnrolledAccepts Medicare Assignment

4515 PREMIER DR STE 204, HIGH POINT, NC 27265(336) 802-2075(336) 802-2076 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Mar 15, 2021, Jun 17, 2020 (3 updates tracked since 2020).

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About Cameron Taylor Clark Pa-c NPPES

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

CAMERON TAYLOR CLARK PA-C (NPI 1639795487) is an individual physician assistant in High Point, North Carolina and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639795487

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAMERON TAYLOR CLARKCredential: PA-C

Location Address4515 PREMIER DR STE 204High Point, NC 27265-8356

Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-1331

Phone(336) 802-2075

Fax(336) 802-2076

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 17, 2020

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1639795487 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

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

4515 PREMIER DR STE 204, High Point, NC 27265

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Secondary Practice Locations 2

Location 113 Medical Park DrLexington, NC 27292-6768 · Phone (336) 243-8615

Location 2701 Loch Highlands DrRaleigh, NC 27606-8432 · Phone (919) 368-8293

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Cameron Taylor Clark Pa-c 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 ID5698183069

PECOS Enrollment IDI20210423001334

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services36 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

32 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27265 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 8

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

COLE C PODRAZA PA-C

Physician Assistant