Mary Olivia Clark, PA
NPI 1821541152ActiveIndividual· Physician Assistant, Medical· Athens, GA
Physician Assistant, Medical (PA) with St. Mary's Medical Group, Inc., practicing in Athens, Georgia. 112 Medicare patients in 2024, $21,575 paid; nearly all of their 147 Part D prescriptions were generic (98%). Abbott Laboratories reported $68.17 in payments in 2025, mostly food and beverage. Lists Piedmont Athens Regional Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1821541152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 3, 2016 |
| Last updated in NPPES | Mar 4, 2026 |
| Certified by provider | Mar 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 8057 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 273 across 63 procedure codes |
| Paid by Medicare | $21,575 |
Part D prescriptions in 2024
| Prescriptions (claims) | 147 · 170 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $1,970 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St. Mary's Medical Group, Inc.Athens, GA · 109 clinicians
Hospital affiliations
- Piedmont Athens Regional Medical CenterAthens, GA
- St Mary's HospitalAthens, GA
- St Marys Good Samaritan HospitalGreensboro, GA
- Ty Cobb Regional Medical Center, LLCLavonia, GA
Industry payments (Open Payments)
- 2025$68.17 · 1 payment from 1 company
- 2024$235.42 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $68.17 | 1 |
What the 2025 payments were for
- Food and Beverage$68.17 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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