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AUSTIN DANIEL CLARK
NPI 1750022208
Hospitalist in Tallahassee, FL

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 431-7901(850) 431-8251 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Jul 10, 2025, Apr 6, 2022 (3 updates tracked since 2022).

About Austin Daniel Clark NPPES

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

AUSTIN DANIEL CLARK (NPI 1750022208) is an individual hospitalist provider in Tallahassee, Florida, licensed in Florida (ME173100) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Florida State University College Of Medicine (2022).

NPPES Registry Identity

NPI1750022208
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameAUSTIN DANIEL CLARK
Location Address1300 MICCOSUKEE RDTallahassee, FL 32308-5054
Mailing Address1300 Miccosukee RdTallahassee, FL 32308-5054 · (850) 431-7901 · Fax (850) 431-8251
Phone(850) 431-7901
Fax(850) 431-8251
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1750022208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME173100
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME173100 (FL)
1300 MICCOSUKEE RD, Tallahassee, FL 32308
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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

Austin Daniel Clark 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 ID9436523495
PECOS Enrollment IDI20250709000074
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 Reassignments

2

Medicare enrollment records show Austin Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tallahassee Memorial Healthcare Inc
Same address
Emergency Care
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group
NPI 1033168893 (850) 431-6923
Dr Joseph D Paolucci MD PA LLC
270 mi
Hospitalist
250 N WICKHAM RD
Melbourne, FL 32935
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1790283661 (813) 293-0025

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

Hospital Affiliations CMS Care Compare 2

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Radiology (Diagnostic Radiology)
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
PETER ANDREW TURNER PA
Physician Assistant
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
RACHEL FAITH POSTON FNP
Nurse Practitioner
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-1155
ADAM CHONG JOO M.D.
Family Medicine
1300 MICCOSUKEE RD, HOSPITALIST GROUP
TALLAHASSEE, FL 32308
Leon County (850) 431-4996
DR. SHAHRZAD A ZAMANI DO
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
VARAK ROSDOM MANOOGIAN
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
BRIAN MENA REYES MD
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-8261
MS. PAULINE BOHANNON
Speech-Language Pathologist
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Leon County (850) 431-7112

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 Austin Clark's NPI number?

The NPI number for Austin Clark is 1750022208. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Austin Clark located?

Austin Clark practices at 1300 Miccosukee Rd, Tallahassee, FL 32308. The listed phone number is (850) 431-7901.

What is Austin Clark's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Austin Clark enrolled in Medicare?

Yes. Austin 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 Austin Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Clark reassigns Medicare benefits to 2 organizations: Tallahassee Memorial Healthcare Inc (Tallahassee, FL) and Dr Joseph D Paolucci MD PA LLC (Melbourne, FL). 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 Austin Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Austin Clark affiliated with any hospitals?

According to CMS data, Austin Clark is affiliated with Tallahassee Memorial Healthcare and Sebastian River Medical Center.

When was this NPI record last updated?

The NPPES record for Austin Clark was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.