ABIGAIL ROSE CLARK
NPI 1942052691
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Abigail Clark's NPI number?

The NPI number for Abigail Clark is 1942052691. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Q: What is Abigail Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Clark was last updated on June 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2024PECOS Enrolled

1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203(704) 381-6800 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2024, Apr 6, 2024 (2 updates tracked since 2024).

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About Abigail Rose Clark NPPES

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

ABIGAIL ROSE CLARK (NPI 1942052691) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942052691

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameABIGAIL ROSE CLARK

Location Address1000 BLYTHE BLVD FL 4Charlotte, NC 28203-5871

Mailing Address1010 Kenilworth Ave Apt 346Charlotte, NC 28204-3472 · (937) 423-3969

Phone(704) 381-6800

Sole ProprietorNo

Enumeration DateApril 4, 2024

Last NPPES UpdateJune 15, 20242 updates tracked since enumeration

NPPES CertifiedJune 15, 2024

✔ NPI 1942052691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD FL 4, Charlotte, NC 28203

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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)

Abigail Rose Clark 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.

DR. JAMES DWAYNE DOLLAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)