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Na'Zae Athena Clark, PA-C

NPI 1174234223ActiveIndividual· Physician Assistant, Medical· Newport News, VA

Physician Assistant, Medical (PA-C) in Newport News, Virginia, trained at Eastern Virginia Medical School (class of 2023). Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1174234223
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedDec 9, 2022
Last updated in NPPESOct 23, 2023
Certified by providerOct 23, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700X0110009412VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (VA)

Medicare sources and data years

Education and affiliations

Medical schoolEastern Virginia Medical School
Graduation year2023
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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