SARABETH LEE CLARK NP
NPI 1720863665
Nurse Practitioner - Family in Madison, MS

Q: What is Sarabeth Clark's NPI number?

The NPI number for Sarabeth Clark is 1720863665. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Q: What is Sarabeth Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sarabeth Clark was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment

2173 MAIN ST, MADISON, MS 39110(601) 605-3858(601) 605-3898 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 28, 2024, Aug 29, 2023 (2 updates tracked since 2023).

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About Sarabeth Lee Clark Np NPPES

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

SARABETH LEE CLARK NP (NPI 1720863665) is an individual family provider in Madison, Mississippi, licensed in Mississippi (906228) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and maintains a secondary practice location in Flowood.

NPPES Registry Identity

NPI1720863665

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARABETH LEE CLARKCredential: NP

Location Address2173 MAIN STMadison, MS 39110-6309

Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (877) 348-1281 · Fax (901) 227-3206

Phone(601) 605-3858

Fax(601) 605-3898

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 29, 2023

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1720863665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MS · 906228✔ Licensed in MS · 865829

2173 MAIN ST, Madison, MS 39110

Open in Google Maps ↗

Secondary Practice Location 1

Location 11050 River Oaks Dr Ste 200Flowood, MS 39232-9564 · Phone (601) 420-0134 · Fax (601) 709-2452

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Sarabeth Lee 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.

PECOS PAC ID2769923788

PECOS Enrollment IDI20240918001070

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.

Medicare Billing Reassignment

Medicare enrollment records show Sarabeth Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Foundation Of Central Mississippi, Inc

1.7 mi

Cardiovascular Disease

401 BAPTIST DR, SUITE 304
Madison, MS 39110

Reassigned Medicare billing, Mississippi enrollment
423 clinicians in this Medicare group

NPI 1902096837 (601) 605-3531

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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

284 services43 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

210 services48 patients

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.

207 services191 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

116 services79 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

50 services50 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

49 services47 patients

Hospital Affiliations CMS Care Compare

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

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 7

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

MRS. MARY KAMRYN BREWER FNP-C

Nurse Practitioner (Family)