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MARY OLIVIA CLARK PA
NPI 1821541152
Physician Assistant - Medical in Athens, GA

Active since August 03, 2016PECOS EnrolledAccepts Medicare Assignment
72.81/100
CMS Quality Rating
2142 W BROAD ST, BLDG 100, STE 200, ATHENS, GA 30606(706) 548-6881(706) 546-0821 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2026, Oct 25, 2022, Apr 18, 2022 and 2 more (5 updates tracked since 2019).

About Mary Olivia Clark Pa NPPES

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

MARY OLIVIA CLARK PA (NPI 1821541152) is an individual medical provider in Athens, Georgia, licensed in Georgia (8057) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821541152
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY OLIVIA CLARKCredential: PA
Location Address2142 W BROAD ST, BLDG 100, STE 200Athens, GA 30606-3509
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740 · Fax (706) 389-3951
Phone(706) 548-6881
Fax(706) 546-0821
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 3, 2016
Last NPPES UpdateMarch 4, 20265 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1821541152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 8057
2142 W BROAD ST, BLDG 100, STE 200, Athens, GA 30606
Open in Google Maps ↗

Other Names 1

Other Name (5)Olivia Clark Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mary Olivia Clark Pa 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 ID5294020160
PECOS Enrollment IDI20160817002085
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 3

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
28 services20 patients
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.
26 services25 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.2
Promoting Interoperability78
Improvement Activities40
Cost62.51

Other Providers at the Same Location NPPES 6

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

MATTHEW D KELLAR PT
Physical Therapist
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606
Clarke County (706) 548-6881
MICHAEL NEIL WOODALL MD
Neurological Surgery
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606
Clarke County (706) 548-6881
JOHN V CUFF MD
Neurological Surgery
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606
Clarke County (706) 548-6881
VIREN S VASUDEVA MD
Neurological Surgery
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606
Clarke County (706) 548-6881
BRYAN B BARNES MD
Neurological Surgery
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606
Clarke County (706) 548-6881
FEROZE AFZAL MD
Psychiatry & Neurology (Neurology)
2142 W BROAD ST, BLDG 100, STE 200
ATHENS, GA 30606
Clarke County (706) 548-6881

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 Mary Clark's NPI number?

The NPI number for Mary Clark is 1821541152. It was assigned to this individual provider in the NPPES registry on August 3, 2016. The provider is also known as Olivia Clark PA.

Where is Mary Clark located?

Mary Clark practices at 2142 W Broad St, Bldg 100, Ste 200, Athens, GA 30606. The listed phone number is (706) 548-6881.

What is Mary Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Clark enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary 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.

Is Mary Clark affiliated with any hospitals?

According to CMS data, Mary Clark is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC, Piedmont Athens Regional Medical Center and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Mary Clark was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.