Kenneth Bryan Clark, PA
NPI 1417903287ActiveIndividual· Physician Assistant· Salisbury, NC
Physician Assistant (PA) with Novant Health Medical Group, LLC, practicing in Salisbury, North Carolina. 132 Medicare patients in 2024, $15,320 paid; nearly all of their 579 Part D prescriptions were generic (97%). Lists Novant Health Rowan Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417903287 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Sep 11, 2023 |
| Certified by provider | Sep 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 103056 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 1,488 across 39 procedure codes |
| Paid by Medicare | $15,320 |
Part D prescriptions in 2024
| Prescriptions (claims) | 579 · 600 30-day fills |
|---|---|
| Patients | 246 |
| Total drug cost | $8,594 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Novant Health Medical Group, LLCWinston Salem, NC · 2,430 clinicians
Hospital affiliations
- Novant Health Rowan Medical CenterSalisbury, NC
- Novant Health Thomasville Medical CenterThomasville, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Salisbury
- 1437119138
- 1093962045
- 1437502754
- 1225182686
- 1376142398
- 1346731155
- 1538585575
- 1740269760
- 1083720643
- 1598121311
- 1154148260
- 1245294305