COURTNEY A CLARK DO
NPI 1790100113
Pediatrics in Picayune, MS
About Courtney A Clark Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY A CLARK DO (NPI 1790100113) is an individual pediatrics provider in Picayune, Mississippi, licensed in Mississippi (29407) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.
NPPES Registry Identity
Specialties & Licenses
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.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Courtney A Clark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790100113, enumerated as an "individual" on February 21, 2014.
The provider is located at 2274 HIGHWAY 43 S PICAYUNE, MS 39466 and the phone number is (601) 347-9024.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and HMO. Please consult your insurance carrier or call the provider to verify.
