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MS. PEYTON LAIN CLARK PA-C
NPI 1922840495
Physician Assistant - Medical in Memphis, TN

Active since June 06, 2024PECOS Enrolled
848 ADAMS AVE, MEMPHIS, TN 38103(901) 287-5437 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Peyton Lain Clark Pa-c NPPES

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

MS. PEYTON LAIN CLARK PA-C (NPI 1922840495) is an individual medical provider in Memphis, Tennessee, licensed in Tennessee (5890) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922840495
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. PEYTON LAIN CLARKCredential: PA-C
Location Address848 ADAMS AVEMemphis, TN 38103-2816
Mailing Address8571 Heirloom Blvd Apt SuiteCollege Grove, TN 37046-1439 · (262) 617-5360
Phone(901) 287-5437
Sole ProprietorYes
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1922840495 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 TN · 5890
848 ADAMS AVE, Memphis, TN 38103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Peyton Lain Clark Pa-c 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.

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.

GLENN T WETZEL MD
Pediatrics (Pediatric Cardiology)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7337
MARK C BUGNITZ MD
Pediatrics (Pediatric Critical Care Medicine)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7337
SCOTT NORMAN WISNIEWSKI MD
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7700
DR. HEATHER NOREEN BECKER MD
Pediatrics
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-5437
CRISTINA NICOLE MARTINEZ
Nurse Practitioner (Neonatal, Critical Care)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-5437
MAYA EMPTAGE DNP PNP-PC
Nurse Practitioner (Pediatrics)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-7337
COURTNEY JACKS MS, CCC-SLP
Speech-Language Pathologist
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-4300
MRS. AMANDA ELLEN HELTON RD, LDN
Dietitian, Registered (Nutrition, Pediatric)
848 ADAMS AVE
MEMPHIS, TN 38103
Shelby County (901) 287-6140

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 Peyton Clark's NPI number?

The NPI number for Peyton Clark is 1922840495. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Peyton Clark located?

Peyton Clark practices at 848 Adams Ave, Memphis, TN 38103. The listed phone number is (901) 287-5437.

What is Peyton Clark's specialty?

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

Is Peyton Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Peyton Clark was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.