Amy T Clark (NPI# 1386931509, PAC ID# 2668696295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386931509 |
| PAC ID by PECOS | 2668696295 |
| Professional Enrollment ID | I20150804005856 |
| Full Name | Amy T Clark |
| Organization Legal Name | SHOALS PRIMARY CARE, LLC |
| Address |
342 Cox Boulevard Sheffield AL 35660-4000 |
| Phone Number | 2563834473 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557406246 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010006 | ELIZA COFFEE MEMORIAL HOSPITAL |
| 010019 | HELEN KELLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 102 Physicians Dr, Suite A, Muscle Shoals, AL 35661-2149 | 2563867553 | SHOALS PRIMARY CARE, LLC |
| 342 Cox Boulevard, Sheffield, AL 35660-4000 | 2563834473 | SHOALS PRIMARY CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 39% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 39% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 52% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 52% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 11% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 11% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SHOALS PRIMARY CARE, LLC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Callie Christiann Bowling | Nurse Practitioner | Shoals Primary Care, LLC | 1080 2nd St, Cherokee, AL 35616-7328 |
| Matthew Alexander Montgomery | Nurse Practitioner | Shoals Primary Care, LLC | 11631 Hwy 101, Lexington, AL 35648-3249 |
| Alan Billsby | General Surgery | Shoals Primary Care, LLC | 500 N Montgomery Ave, Sheffield, AL 35660-2832 |
| Paul A Morris | Cardiovascular Disease (cardiology) | Shoals Primary Care, LLC | 201 Rosa Ln, Florence, AL 35630-1770 |
| Todd A Durham | Diagnostic Radiology | Shoals Primary Care, LLC | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 |
| Galen H Kiser | Emergency Medicine | Shoals Primary Care, LLC | 14490 County Line Rd, Muscle Shoals, AL 35661-4412 |
| Flora Kayfan | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| George A Evans | General Practice | Shoals Primary Care, LLC | 340 Cox Blvd, Sheffield, AL 35660-4020 |
| Donald L Johnson | Diagnostic Radiology | Shoals Primary Care, LLC | 1404 E Avalon Ave, Tuscumbia, AL 35674-1773 |
| Terence T Hart | General Practice | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Street Address |
342 COX BOULEVARD |
| City | SHEFFIELD |
| State | AL |
| Zip | 35660-4000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Flora Kayfan | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Terence T Hart | General Practice | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Hannah Willis Hale | Nurse Practitioner | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Javar Burrell Myatt-jones | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Anita C Mcdonald | Nurse Practitioner | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Darin K Bowling | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Aaron Waite Karr | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Baylee Smith Corsbie | Nurse Practitioner | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Brad M Ginevan | Family Medicine | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Albert L Ridgeway | Pulmonary Disease | Shoals Primary Care, LLC | 342 Cox Boulevard, Sheffield, AL 35660-4000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan C Lenz | Optometry | Tennessee River Eye Clinic | 1110 S Montgomery Ave, Sheffield, AL 35660 |
| Mark A Kassels | Ophthalmology | Tennessee River Eye Clinic | 1110 S Montgomery Ave, Sheffield, AL 35660 |
| Randall K Mansell | General Surgery | Surgical Associates of The Shoals, PC | 1120 S Jackson Hwy, Suite 105, Sheffield, AL 35660 |
| Daniel Lee Morris | Oral Surgery | Oral and Facial Surgery of The Shoals, L.L.C. | 398 Ashe Blvd, Sheffield, AL 35660-1729 |
| Christopher B Nester | Maxillofacial Surgery | Oral and Facial Surgery of The Shoals, L.L.C. | 398 Ashe Blvd, Sheffield, AL 35660-1729 |
| Jonathan W Frederick | Maxillofacial Surgery | Oral and Facial Surgery of The Shoals, L.L.C. | 398 Ashe Blvd, Sheffield, AL 35660-1729 |
| Mark R Mcilwain | Maxillofacial Surgery | Oral and Facial Surgery of The Shoals, L.L.C. | 398 Ashe Blvd, Sheffield, AL 35660-1729 |
| Pamela D Mcgarrah | Otolaryngology | Tennessee Valley Ent Clinic, P.C. | 323 N Montgomery Ave, Sheffield, AL 35660-2708 |
| Lindsey Marie Moore | Nurse Practitioner | Tennessee Valley Ent Clinic, P.C. | 323 N Montgomery Ave, Sheffield, AL 35660-2708 |
| Kenneth F Lemaster | Otolaryngology | Tennessee Valley Ent Clinic, P.C. | 323 N Montgomery Ave, Sheffield, AL 35660-2708 |
| Find all physicians in zip 35660 | |||
| City | SHEFFIELD |
| Zip Code | 35660 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHEFFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Amy T 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.