ELIZABETH ANNE CLARK MD, MPH
NPI 1295430700
Student in an Organized Health Care Education/Training Program in Charlotte, NC
NPI Status: Active since April 03, 2023
Contact Information
1000 BLYTHE BLVD
SUITE 601
CHARLOTTE, NC
ZIP 28203
Phone: (704) 355-7874
Fax: (704) 355-5619
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About ELIZABETH CLARK
This page provides the complete NPI Profile along with additional information for Elizabeth Clark, a primary care provider established in Charlotte, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1295430700 assigned on April 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1295430700
- Provider Name
- ELIZABETH ANNE CLARK MD, MPH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 BLYTHE BLVD SUITE 601 CHARLOTTE, NC 28203
- Location Phone
- (704) 355-7874
- Location Fax
- (704) 355-5619
- Mailing Address
- 1204 COPPER HILL ROAD PO BOX 169 GLEN HAVEN, CO 80532
- Mailing Phone
- (970) 372-8832
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2023
- Last Update Date
- 04-03-2023
- Code Navigator
A primary care provider (PCP) like Elizabeth Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Elizabeth Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 4 | 3 | 0 | 7 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 8 | 3 | 0 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 8 + 3 + 0 + 7 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1295430700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093712242 | MR. ANDREW PAGW MCKUSICK R.PH. Individual | Pharmacist (Nuclear) | 1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER - DEPT OF NUC MED CHARLOTTE, NC 28203 (704) 355-3527 |
| 1619978111 | DR. MARIE-CLAIRE MARROUM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1639170897 | DR. WAYNE NELS CHRISTENSEN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1518968023 | DR. JAMES EMMETT MCDERMOTT M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1336140854 | DR. SAMUEL ORR M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2251 |
| 1689676173 | AMY L SMITH CRNA Individual | Nurse Anesthetist, Certified Registered | 1000 BLYTHE BLVD CAROLINAS MEDICAL CENTER - ANESTHESIOLOGY CHARLOTTE, NC 28203 (704) 355-2000 |
| 1508854019 | DR. JOSHUA SETH MILLER MD Individual | Anesthesiology (Pain Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1558359083 | DR. CHARLES DANA HERSHEY MD Individual | Anesthesiology | 1000 BLYTHE BLVD SOUTHEAST ANESTHESIOLOGY CONSULTANTS PA CHARLOTTE, NC 28203 (704) 355-2372 |
| 1366430894 | DR. MICHAEL TIFFANY GILLETTE MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1841288347 | DR. ERIC HERBERT WINTER MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1073501516 | DR. JAMES MICHAEL DOYLE MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1508854076 | DR. JOSEPH PAUL COYLE MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1508854068 | DR. RICHARD LEE GILBERT MD Individual | Anesthesiology (Pain Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1831187392 | DR. BRIAN JOHN WILDER MD Individual | Anesthesiology (Pain Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1407845225 | DR. VASILIKI STABOLITIS COLLINS MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1932198843 | DR. FREDERICK LEE NEWCOMB JR. MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1992794812 | DR. RICHARD JOHN POLLARD MD Individual | Anesthesiology | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-2372 |
| 1417948548 | DR. SCOTT DANIEL POPE PHARMD Individual | Pharmacist | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-3758 |
| 1477537553 | JOSEPH MCDONALD ERNEST III MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-3153 |
| 1518942366 | MS. ELIZABETH AMACKER NORTH M.S. Individual | Genetic Counselor, MS | 1000 BLYTHE BLVD CHARLOTTE, NC 28203 (704) 355-3159 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295430700, enumerated in the NPI registry as an "individual" on April 03, 2023
The provider is located at 1000 Blythe Blvd Suite 601 Charlotte, Nc 28203 and the phone number is (704) 355-7874
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 03, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.