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COURTNEY A CLARK DO
NPI 1790100113
Pediatrics in Picayune, MS

Active since February 21, 2014PECOS Enrolled
2274 HIGHWAY 43 S, PICAYUNE, MS 39466(601) 347-9024(601) 798-5914 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1790100113
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCOURTNEY A CLARKCredential: DO
Location Address2274 HIGHWAY 43 SPicayune, MS 39466-8141
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Phone(601) 347-9024
Fax(601) 798-5914
Sole ProprietorYes
Enumeration DateFebruary 21, 2014
Last NPPES UpdateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1790100113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MS · 29407✔ Licensed in VA · 1790100113
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.
2274 HIGHWAY 43 S, Picayune, MS 39466
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Secondary Practice Location 1

Location 1554 Keily StreetJacksonville, FL 32212 · Phone (757) 953-7550 · Fax (757) 953-7560

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, HMO Louisiana.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).

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 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.

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 13

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

JAMES M RISER MD PA
Family Medicine
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-5798
MRS. CARI THAWN MACDONALD FNP
Nurse Practitioner (Family)
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-3989
MRS. CARLA DONNELL PENTON FNP
Nurse Practitioner (Family)
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-3989
JENNIFER F CACIOPPO FNP
Nurse Practitioner (Family)
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-5798
MRS. KAREN ELIZABETH MCDAY NP
Nurse Practitioner (Family)
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 215-2383
ALBERT H SANDERS NP-C
Nurse Practitioner (Family)
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-3989
RISER MEDICAL ASSOCIATES PLLC
Family Medicine
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-5798
JAMES M RISER MD
Family Medicine
2274 HIGHWAY 43 S
PICAYUNE, MS 39466
Pearl River County (601) 798-5798

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 Courtney Clark's NPI number?

The NPI number for Courtney Clark is 1790100113. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Courtney Clark located?

Courtney Clark practices at 2274 Highway 43 S, Picayune, MS 39466. The listed phone number is (601) 347-9024.

What is Courtney Clark's specialty?

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

Is Courtney Clark enrolled in Medicare?

Yes. Courtney Clark is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Clark accept?

Health plans from Blue Cross and Blue Shield of Alabama and HMO Louisiana list Courtney Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Clark was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.