Chasity Gibson Clark (NPI# 1205385655, PAC ID# 2860774502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205385655 |
| PAC ID by PECOS | 2860774502 |
| Professional Enrollment ID | I20170112003477 |
| Full Name | Chasity Gibson Clark |
| Organization Legal Name | CAHABA MEDICAL CARE FOUNDATION |
| Address |
195 Hospital Dr Centreville AL 35042-2935 |
| Phone Number | 2059262992 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355597923 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010058 | BIBB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 195 Hospital Dr, Centreville, AL 35042-2935 | 2059262992 | CAHABA MEDICAL CARE FOUNDATION |
| 405 Belcher St, Centreville, AL 35042-2946 | 2059262992 | CAHABA MEDICAL CARE FOUNDATION |
| Organization Legal Name | CAHABA MEDICAL CARE FOUNDATION |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A Stokes | Family Medicine | Cahaba Medical Care Foundation | 1308 Tuscaloosa Ave Sw, Birmingham, AL 35211-1948 |
| Kaylee Laura Perkins | Physician Assistant | Cahaba Medical Care Foundation | 1088 9th Swave, Suite 106, Bessemer, AL 35022-7834 |
| Laura A Hyer | Family Medicine | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Joshua Elledge | Nurse Practitioner | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Timothy Alphonzo Williams | Nephrology | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Andrew Posey | Family Medicine | Cahaba Medical Care Foundation | 995 9th Swave, Suite 507, Bessemer, AL 35022-4527 |
| Jamie Bishop | Family Medicine | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Hannah Faulkner | Nurse Practitioner | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Stephanie Nichole Savage | Nurse Practitioner | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Austin Klint | Family Medicine | Cahaba Medical Care Foundation | 405 Belcher St, Centreville, AL 35042-2946 |
| Street Address |
195 HOSPITAL DR |
| City | CENTREVILLE |
| State | AL |
| Zip | 35042-2935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Elledge | Nurse Practitioner | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Alexandra Clifton | Physician Assistant | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Charity Laister | Clinical Social Worker | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Robert David Griffith | Dermatology | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Rowell S Ashford Ii | Obstetrics/gynecology | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Lauren Bloch | Family Medicine | White River Health System Inc | 195 Hospital Dr, Cherokee Village, AR 72529-7314 |
| Andreia White | Family Medicine | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Loretta A Preston | Nurse Practitioner | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Stephen Clark Richardson | Psychiatry | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Shelley E Waits | Family Medicine | Cahaba Medical Care Foundation | 195 Hospital Dr, Centreville, AL 35042-2935 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Allgood | Optometry | 260 Walnut St, Centreville, AL 35042-2332 | |
| Timothy Alphonzo Williams | Nephrology | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Connie W Richardson | Family Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Lata R Patil | Family Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Robin Birchfield | Nurse Practitioner | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Karlee J Johnson | Nurse Practitioner | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| John Sansbury Meigs Jr. | Family Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Timmy O Williams | Certified Registered Nurse Anesthetist (crna) | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Johnstone P Hollis | Internal Medicine | The Bibb County Healthcare Authority | 208 Pierson Ave, Centreville, AL 35042-2918 |
| Mark E Etheridge | Certified Registered Nurse Anesthetist (crna) | Cahaba Medical Care Foundation | 294 Pierson Ave, Centreville, AL 35042-2918 |
| Find all physicians in zip 35042 | |||
| City | CENTREVILLE |
| Zip Code | 35042 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CENTREVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Chasity Gibson 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.