Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Andrew Clark

Individual provider Medical Physician Assistant · NPI 1447986914

Adam Andrew Clark is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2022

Practice location Address checks out

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone: (505) 265-1711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2024-0071 (NM)

Record details

NPI number1447986914
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 13, 2025
Certification dateJuly 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Albuquerque