SHAWN CLARK, M.D., P.C.
NPI 1972931533
Specialist in Mobile, AL

Active since October 17, 2013
6701 AIRPORT BLVD, #C138, MOBILE, AL 36608(251) 295-2579 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shawn Clark, M.d., P.c. NPPES

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

SHAWN CLARK, M.D., P.C. (NPI 1972931533) is a healthcare organization registered as a specialist in Mobile, Alabama and active in the NPI registry since October 2013. The organization lists Shawn Broxton Clark, Physician, as its authorized official.

NPPES Registry Identity

NPI1972931533
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHAWN CLARK, M.D., P.C.
Location Address6701 AIRPORT BLVD, #C138Mobile, AL 36608-6705
Mailing Address6701 Airport Blvd, #c138Mobile, AL 36608-6705 · (251) 295-2579
Organization SubpartNo
Authorized OfficialShawn Broxton ClarkPhysician · (251) 295-2579
Enumeration DateOctober 17, 2013
✔ NPI 1972931533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 23993
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 143 (AL)
6701 AIRPORT BLVD, Mobile, AL 36608

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Clark, M.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shawn Clark, M.D., P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Neurosurgery
NPI 1609867803
6701 AIRPORT BLVD STE D146
Mobile, AL 36608
(251) 287-2176
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1306849575
6701 AIRPORT BLVD STE D146
Mobile, AL 36608
(251) 287-2176
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700341195
1601 CENTER ST STE 2S
Mobile, AL 36604
(251) 660-5108
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1154739548
1505 DAPHNE AVE
Daphne, AL 36526
(251) 625-2663
✔ PECOS✔ Accepts Medicare19 mi

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

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 Shawn Clark, M.D., P.C.'s NPI number?

The NPI number for Shawn Clark, M.D., P.C. is 1972931533. It was assigned to this organization in the NPPES registry on October 17, 2013.

Where is Shawn Clark, M.D., P.C. located?

Shawn Clark, M.D., P.C. is located at 6701 Airport Blvd #c138, Mobile, AL 36608. The listed phone number is (251) 295-2579.

What is Shawn Clark, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shawn Clark, M.D., P.C. enrolled in Medicare?

Yes. Shawn Clark, M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shawn Clark, M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Shawn Clark, M.D., P.C., in Neurosurgery and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shawn Clark, M.D., P.C. was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.