Callie Bibb Clark, DNP, FNP-C in Augusta, GA - Medicare Nurse Practitioner

Callie Bibb Clark, DNP, FNP-C is a medicare enrolled "Nurse Practitioner" in Augusta, Georgia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Cardiology Of Atlanta, Llc and her current practice location is 2258 Wrightsboro Rd Ste 400, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 724-4400.

Callie Bibb Clark is licensed to practice in Georgia (license number NP000357) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194498634.

Contact Information

	Callie Bibb Clark, DNP, FNP-C
	2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788
	(706) 724-4400
	(706) 724-6003

Map and Direction

Provider's Profile

Full Name	Callie Bibb Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2258 Wrightsboro Rd Ste 400, Augusta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Callie Bibb Clark graduated from nursing school in 2021

NPI Data:

NPI Number: 1194498634
Provider Enumeration Date: 07/30/2021
Last Update Date: 10/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6709274350
Enrollment ID: I20211101001131

Medical Identifiers

Medical identifiers for Callie Bibb Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194498634	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	254429 (Georgia)	Secondary
363L00000X	Nurse Practitioner	NP000357 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Cardiology Of Atlanta, Llc	0345321691	405

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Callie Bibb Clark allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Cardiology Of Atlanta, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153

Entity Name	University Cardiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902198369 PECOS PAC ID: 7810164654 Enrollment ID: O20120119000753

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Callie Bibb Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Callie Bibb Clark, DNP, FNP-C Po Box 925, Augusta, GA 30903-0925 Ph: () -	Callie Bibb Clark, DNP, FNP-C 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 Ph: (706) 724-4400

Reviews and Comments

Nurse Practitioner Nurses in Augusta, GA

Mr. Robert Scott Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8549
Veronica Bradford, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440
Nadia Reese, AGACNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909 Phone: 706-432-1111
Britney Wilkinson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912 Phone: 706-726-9257
Kristin Anderson Hannah, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8735
Magen Brooke Luke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375
Dr. Suzanne Dixson Thomas, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1916 N Leg Rd, Family Health Coordinator, East Central Health District, Augusta, GA 30909 Phone: 706-667-4285 Fax: 706-667-4607

Callie Bibb Clark, DNP, FNP-C - Medicare Nurse Practitioner in Augusta, GA