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DR. TAVIA DENISE CLARK M.D.
NPI 1851667380
Pediatrics in Gastonia, NC

Active since March 29, 2012PECOS Enrolled
2525 COURT DR, GASTONIA, NC 28054(704) 834-2000(704) 834-2500 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2023, Jul 12, 2016 (2 updates tracked since 2016).

About Dr. Tavia Denise Clark M.d. NPPES

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

DR. TAVIA DENISE CLARK M.D. (NPI 1851667380) is an individual pediatrics provider in Gastonia, North Carolina, licensed in North Carolina (2015-02140) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851667380
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TAVIA DENISE CLARKCredential: M.D.
Location Address2525 COURT DRGastonia, NC 28054-2140
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Phone(704) 834-2000
Fax(704) 834-2500
Sole ProprietorYes
Enumeration DateMarch 29, 2012
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1851667380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2015-02140✔ Licensed in MA · 264842✔ Licensed in OR · MD174941✔ Licensed in WA · MD60584128✔ Licensed in PA · MD455243
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.
2525 COURT DR, Gastonia, NC 28054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tavia Denise Clark M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Tavia Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caromont Medical Group Inc
Same address
Clinical Pathology/Laboratory Medicine
2525 COURT DR
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1073891719 (704) 834-2450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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 20

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

DR. IAN OLUREMILEKUN COLE M.D.
Emergency Medicine
2525 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-2000
JASMINE SICILIA STONE PA
Physician Assistant
2525 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-2944
DENNIS ANTHONY FLORES CRNA
Nurse Anesthetist, Certified Registered
2525 COURT DR
GASTONIA, NC 28054
Gaston County (380) 070-4834
GASTON MEMORIAL HOSPITAL, INCORPORATED
General Acute Care Hospital
2525 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-2000
HARPREET NIJHER MD
Anesthesiology
2525 COURT DR
GASTONIA, NC 28054
Gaston County (706) 834-2000
AJAY NARANDAS PATEL M.D.
Internal Medicine
2525 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-2000
NORA DAVIS PAYSOUR FNP-C
Nurse Practitioner (Family)
2525 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-2000
BRIANNA MARIE HICKLIN
Nurse Practitioner (Acute Care)
2525 COURT DR
GASTONIA, NC 28054
Gaston County (704) 834-7238

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 Tavia Clark's NPI number?

The NPI number for Tavia Clark is 1851667380. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Tavia Clark located?

Tavia Clark practices at 2525 Court Dr, Gastonia, NC 28054. The listed phone number is (704) 834-2000.

What is Tavia Clark's specialty?

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

Is Tavia Clark enrolled in Medicare?

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

Which organization bills Medicare for Tavia Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tavia Clark reassigns Medicare benefits to Caromont Medical Group Inc (Gastonia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tavia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tavia Clark accept?

Health plans from Cigna Healthcare list Tavia 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 Tavia Clark was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.