DR. KATHY L CLARKE (MD) – Family Medicine Physician, NPI 1972502938

DR. KATHY L CLARKE (MD) is a healthcare provider. based in Woodlawn, Virginia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0101102706 (VA). The NPI Number for DR. KATHY L CLARKE (MD) is 1972502938

Main info

Female
Sole Proprietor
Name
DR. KATHY L CLARKE (MD)
NPI
1972502938
Phone
(276) 238-8876
Address
5261 CARROLLTON PIKE
Enumeration Date
20 July 2005
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KATHY L CLARKE (MD)

  • 5261, Carrollton Pike, Browns Store, Carroll County, Virginia, 24381, United States

    SUITE B

    WOODLAWN, VA 243813030

    Phone: (276) 238-8876

    Fax: (276) 238-8886

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-12-13

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
I20171213001128IFamily PracticeNMTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24381)

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Reviews

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Frequently asked questions

How do payers reference DR. KATHY L CLARKE (MD)?
For DR. KATHY L CLARKE (MD), use NPI 1972502938 as the unique 10-digit identifier.
Is DR. KATHY L CLARKE (MD) shown as active in public data?
Registry records indicate DR. KATHY L CLARKE (MD) maintains an active NPI.
What clinical focus is listed for DR. KATHY L CLARKE (MD)?
At a glance, DR. KATHY L CLARKE (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KATHY L CLARKE (MD) located near Woodlawn?
DR. KATHY L CLARKE (MD) currently maps to Woodlawn, Virginia in this extract.
When was this NPI issued?
Enumeration for DR. KATHY L CLARKE (MD) is noted as July 20, 2005 where the registry provides it.

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