Shawn Clark, M.D., P.C.
NPI 1972931533ActiveOrganization· Specialist· Mobile, AL
Specialist in Mobile, Alabama, registered in NPPES in October 2013. The authorized official on file is Shawn Broxton Clark, M.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972931533 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2013 |
| Last updated in NPPES | Oct 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 23993 | AL |
| Physician Assistant, Surgical | 363AS0400X | 143 | AL |
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 Part B Supplier - Clinic/Group Practice (AL) |
|---|
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