DR. SHAWNESE GILPIN CLARK MD, MPH
NPI 1649766429
Pediatrics in Clinton, MD

Q: What is Shawnese Clark's NPI number?

The NPI number for Shawnese Clark is 1649766429. It was assigned to this individual provider in the NPPES registry on July 5, 2018. The provider is also known as Shawnese Lauren Samantha Gilpin MD, Mph.

Q: What is Shawnese Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shawnese Clark was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2018PECOS Enrolled

7503 SURRATTS RD, CLINTON, MD 20735(240) 506-8967 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2023, Feb 2, 2022, Aug 16, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Shawnese Gilpin Clark Md, Mph NPPES

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

DR. SHAWNESE GILPIN CLARK MD, MPH (NPI 1649766429) is an individual pediatrics provider in Clinton, Maryland, licensed in Maryland (D0091831) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649766429

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SHAWNESE GILPIN CLARKCredential: MD, MPH

Location Address7503 SURRATTS RDClinton, MD 20735-3358

Mailing Address3400 Potomac Ave Apt 907Arlington, VA 22202-4083 · (240) 506-8967

Phone(240) 506-8967

Sole ProprietorNo

Enumeration DateJuly 5, 2018

Last NPPES UpdateAugust 17, 20235 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1649766429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MD · D0091831✔ Licensed in DC · MD210001555✔ Licensed in IL · 125.073399

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License D91831 (MD)

7503 SURRATTS RD, Clinton, MD 20735

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Other Names 1

Former Name (1)Shawnese Lauren Samantha Gilpin Md, Mph

Secondary Practice Locations 2

Location 1111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-5000

Location 2301 Hospital DrGlen Burnie, MD 21061-5803 · Phone (410) 787-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawnese Gilpin Clark Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20735 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

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 20

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

SOUTHERN MARYLAND INTENSIVE CARE, INC.

Specialist