Courtney A. Clark, DO
NPI 1790100113ActiveIndividual· Pediatrics· Picayune, MS
Pediatrics (DO) in Picayune, Mississippi, licensed in MS and VA, with an NPI issued in February 2014. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine. Teva Pharmaceuticals USA, Inc. reported $23.40 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1790100113 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2014 |
| Last updated in NPPES | Nov 15, 2021 |
| Certified by provider | Nov 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 29407 | MS |
| Pediatrics | 208000000X | 1790100113 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (LA); Practitioner - Pediatric Medicine (MS) |
|---|
Industry payments (Open Payments)
- 2024$23.40 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $23.40 | 1 |
What the 2024 payments were for
- Food and Beverage$23.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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