Scott Clark (NPI# 1538119979, PAC ID# 2163478157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1538119979 |
| PAC ID by PECOS | 2163478157 |
| Professional Enrollment ID | I20071002000047 |
| Full Name | Scott Clark |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF GAINESVILLE, P. C. |
| Address |
2324 Limestone Overlook Gainesville GA 30501-7443 |
| Phone Number | 7705368109 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1997 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 9931190295 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| 110041 | HABERSHAM COUNTY MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 2324 Limestone Overlook, Gainesville, GA 30501-7443 | 7705368109 | GASTROENTEROLOGY ASSOCIATES OF GAINESVILLE, P. C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF GAINESVILLE, P. C. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Namita Pareek | Gastroenterology | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Joanna Harkness | Nurse Practitioner | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Courtney C Larson | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| John Luke Kalarickal | Gastroenterology | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Erika Porter Holloway | Physician Assistant | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Nickola F Booker | Physician Assistant | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Ankur R Sheth | Gastroenterology | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Jaime L Majors | Nurse Practitioner | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Feather K Holbrook | Nurse Practitioner | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Marla F Dixon | Physician Assistant | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Street Address |
2324 LIMESTONE OVERLOOK |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-7443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Namita Pareek | Gastroenterology | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Joanna Harkness | Nurse Practitioner | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Courtney C Larson | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| John Luke Kalarickal | Gastroenterology | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Erika Porter Holloway | Physician Assistant | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Nickola F Booker | Physician Assistant | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Ankur R Sheth | Gastroenterology | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Jaime L Majors | Nurse Practitioner | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Feather K Holbrook | Nurse Practitioner | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Marla F Dixon | Physician Assistant | Gastroenterology Associates of Gainesville, P. C. | 2324 Limestone Overlook, Gainesville, GA 30501-7443 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | GAINESVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Scott Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.