Michael Allen Clark (NPI# 1841452505, PAC ID# 9638310691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1841452505 |
| PAC ID by PECOS | 9638310691 |
| Professional Enrollment ID | I20130802000499 |
| Full Name | Michael Allen Clark |
| Organization Legal Name | VALDOSTA ORTHOPEDIC ASSOCIATES PC |
| Address |
3520 N Crossing Circle Valdosta GA 31602-1067 |
| Phone Number | 2292428394 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8325938491 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| 111326 | SGMC LANIER CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2292472290 | VALDOSTA ORTHOPEDIC ASSOCIATES PC |
| 3520 N Crossing Circle, Valdosta, GA 31602-1067 | 2292428394 | VALDOSTA ORTHOPEDIC ASSOCIATES PC |
| 3526 N Crossing Cir, Valdosta, GA 31602-1067 | 2292472290 | VALDOSTA ORTHOPEDIC ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 35% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 58% |
| Organization Legal Name | VALDOSTA ORTHOPEDIC ASSOCIATES PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| James Goss | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Ashly Mcdaniel | Physician Assistant | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Heather Williams Hyers | Nurse Practitioner | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Charles Sanderlin Jr | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Paul D Lane Jr. | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| John Kendrick | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Ibrahim Usman-oyowe | Physical Medicine and Rehabilitation | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Darin Melvin | Nurse Practitioner | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Emily Wade | Physical Therapy | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Street Address |
3520 N CROSSING CIRCLE |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-1067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Goss | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| John Kendrick | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Darin Melvin | Nurse Practitioner | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Emily Wade | Physical Therapy | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Mika P Alakulppi | Physical Therapy | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Oscar Aguero Jr. | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| John Eric Gee | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3520 N Crossing Circle, Valdosta, GA 31602-1067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | VALDOSTA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Michael Allen 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.