CHELSEA VICTORIA CLARK (MD) – Family Medicine Physician, NPI 1124581137

CHELSEA VICTORIA CLARK (MD) is a healthcare provider. based in Brownsboro, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 42085 (AL). The NPI Number for CHELSEA VICTORIA CLARK (MD) is 1124581137

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA VICTORIA CLARK (MD)
NPI
1124581137
Phone
Not provided
Address
1002 HAMPTON FALL BLVD APT 1511
Enumeration Date
8 April 2019
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562595211
Graduation Year
2019 (7 years ago)
PAC ID
6800129859
Group Practice PAC ID
0648666198
Professional Enrollment ID
I20220817002662
Address ID
AL357682424SC408XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for CHELSEA VICTORIA CLARK (MD)

  • 1002 HAMPTON FALL BLVD APT 1511

    BROWNSBORO, AL 357418035

    Phone:

    Type: Mailing

  • 301, Governors Drive Southwest, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States

    HUNTSVILLE, AL 358015123

    Phone: (256) 551-4631

    Type: Location

  • 1108 S BROAD ST STE A

    SCOTTSBORO, AL 357682514

    Phone: (256) 218-3230

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $777.

Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($194).

Total Amount

$777

General + Research + Ownership

Payments

37

Total payment records

General Amount

$777

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220817002662IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17763$0
36415Insertion of needle into vein for collection of blood sample10556$0
99204New patient office or other outpatient visit, 45-59 minutes4848$0
99213Established patient office or other outpatient visit, 20-29 minutes4226$0
81003Automated urinalysis test3319$0
View full utilization report →

Insurance plans in this area (ZIP 35741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648666198View full group profile
NameSpecialtyState
Family PracticeAL
O B S T E T R I C S/ G Y N E C O L O G YAL
Family PracticeAL
Nurse PractitionerAL
Family PracticeAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I verify CHELSEA VICTORIA CLARK (MD) with an NPI only?
You can start verification with NPI 1124581137 for CHELSEA VICTORIA CLARK (MD), then check state licensing separately.
Does CMS list CHELSEA VICTORIA CLARK (MD) as active?
Yes — CHELSEA VICTORIA CLARK (MD) is active in the NPI listing used on this page.
What is CHELSEA VICTORIA CLARK (MD)'s primary classification?
Family Medicine Physician is the headline specialty for CHELSEA VICTORIA CLARK (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for CHELSEA VICTORIA CLARK (MD)?
CHELSEA VICTORIA CLARK (MD)'s geographic hint is Brownsboro, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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