1. Home
  2. Directory
  3. North Carolina
  4. Southport
  5. Nurse Practitioner
  6. NPI Profile

ALLISON CLARK
NPI 1750945366
Nurse Practitioner - Family in Southport, NC

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
5130 SOUTHPORT SUPPLY RD SE, SOUTHPORT, NC 28461(910) 269-2053 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, May 24, 2021, Apr 29, 2019 (3 updates tracked since 2019).

About Allison Clark NPPES

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

ALLISON CLARK (NPI 1750945366) is an individual family provider in Southport, North Carolina, licensed in North Carolina (5022987) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Brunswick Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750945366
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON CLARK
Location Address5130 SOUTHPORT SUPPLY RD SESouthport, NC 28461-9261
Mailing Address5130 Southport Supply Rd SeSouthport, NC 28461-9261 · (910) 269-2053
Phone(910) 269-2053
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 29, 2019
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1750945366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5022987
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP020248 (PA)
5130 SOUTHPORT SUPPLY RD SE, Southport, NC 28461
Open in Google Maps ↗

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

Allison 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 ID3072856533
PECOS Enrollment IDI20190524000418, I20260105000031
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 9

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 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.
222 services133 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
61 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
54 services54 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.
30 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Novant Health Brunswick Medical Center

Acute Care Hospitals · Supply, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340158
Location1 Medical Center Dr PO Box 139Supply, NC 28462 · Brunswick County
Emergency services Birthing friendly

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28461 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

COMPREHENSIVE MEDICAL ASSOCIATES, PLLC
Internal Medicine
5130 SOUTHPORT SUPPLY RD SE, SUITE 101 A
SOUTHPORT, NC 28461
Brunswick County (910) 454-4032
REGINA Z GUM PA-C
Physician Assistant (Medical)
5130 SOUTHPORT SUPPLY RD SE, STE 101
SOUTHPORT, NC 28461
Brunswick County (910) 269-4053

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 Allison Clark's NPI number?

The NPI number for Allison Clark is 1750945366. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Allison Clark located?

Allison Clark practices at 5130 Southport Supply Rd SE, Southport, NC 28461. The listed phone number is (910) 269-2053.

What is Allison Clark's specialty?

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

Is Allison Clark enrolled in Medicare?

Yes. Allison 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.

Is Allison Clark affiliated with any hospitals?

According to CMS data, Allison Clark is affiliated with Novant Health Brunswick Medical Center, J Arthur Dosher Memorial Hospital, Conemaugh Nason Medical Center and Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Allison Clark was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.