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ADELE CLARK PA
NPI 1841228335
Physician Assistant - Medical in Winston Salem, NC

Active since June 30, 2006
4618 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 716-2255(336) 716-9258 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adele Clark Pa NPPES

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

ADELE CLARK PA (NPI 1841228335) is an individual medical provider in Winston Salem, North Carolina, licensed in North Carolina (100690) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1841228335
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameADELE CLARKCredential: PA
Location Address4618 COUNTRY CLUB RDWinston Salem, NC 27104-3520
Mailing AddressPo Box 344Winston-salem, NC 27102-0344 · (336) 716-2255 · Fax (336) 716-9258
Phone(336) 716-2255
Fax(336) 716-9258
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateOctober 21, 2010
✔ NPI 1841228335 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 NC · 100690
4618 COUNTRY CLUB RD, Winston Salem, NC 27104
Open in Google Maps ↗

Other Identifiers 4

Other189348NC · Medcost
Medicare PIN2747323BNC
Medicare UPINS57399
Other7825786NC · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

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.

DEBRA COPELAND SIZEMORE PAC
Physician Assistant (Medical)
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-2255
JESSICA ALEXIS SAVAS M.D
Dermatology
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
PATRICE LASHAY SHAW PA
Physician Assistant
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
AMY JO MCMICHAEL MD
Dermatology
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-2255
AMBER BREWER KELLER PA-C
Physician Assistant
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-1763
CHRISTEN MITCHELL MD
Dermatology
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
EMILY CHRISTINE MOYA PA-C
Physician Assistant
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926
LUCY ROSE MD
Student in an Organized Health Care Education/Training Program
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3926

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 Adele Clark's NPI number?

The NPI number for Adele Clark is 1841228335. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Adele Clark located?

Adele Clark practices at 4618 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 716-2255.

What is Adele Clark's specialty?

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

What insurance does Adele Clark accept?

Health plans from AmeriHealth Caritas Next list Adele 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 Adele Clark was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.