HANNAH CLARK (PA-C) – Physician Assistant, NPI 1780008649

HANNAH CLARK (PA-C) is a healthcare provider. based in Gardendale, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00201 (MS). The NPI Number for HANNAH CLARK (PA-C) is 1780008649

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH CLARK (PA-C)
NPI
1780008649
Phone
Not provided
Address
2217 DECATUR HWY
Enumeration Date
13 February 2014
Last Update Date
27 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054181200
Graduation Year
2013 (13 years ago)
PAC ID
9234355280
Group Practice PAC ID
1557548161
Professional Enrollment ID
I20160224000634
Address ID
AL350712301GA2217XHWYX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,202 PHYSICIAN ASSISTANT in AL

Provider Addresses for HANNAH CLARK (PA-C)

  • 2217 DECATUR HWY

    GARDENDALE, AL 350712301

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Pulmonx Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Pulmonx Corporation$16
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: 2016-02-24

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
I20160224000634IPhysician AssistantALTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes161136$0
99214Established patient office or other outpatient visit, 30-39 minutes4037$0
99212Established patient office or other outpatient visit, 10-19 minutes1717$0
99495Transitional care management services for problem of at least moderate complexity1212$0
96372Injection of drug or substance under skin or into muscle1111$0
View full utilization report →

Insurance plans in this area (ZIP 35071)

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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: 1557548161View full group profile
NameSpecialtyState
Internal MedicineAL
--
Internal MedicineAL
Nurse PractitionerAL
N E U R O L O G YAL
-AL
Family PracticeAL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyAL
O B S T E T R I C S/ G Y N E C O L O G YAL
Family PracticeAL

Reviews

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Frequently asked questions

Is there an official ID for HANNAH CLARK (PA-C) in U.S. healthcare records?
The official identifier for HANNAH CLARK (PA-C) is NPI 1780008649.
Would HANNAH CLARK (PA-C) appear as active to a payer?
You can treat HANNAH CLARK (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to HANNAH CLARK (PA-C)?
HANNAH CLARK (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is HANNAH CLARK (PA-C) located near Gardendale?
HANNAH CLARK (PA-C) currently maps to Gardendale, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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