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

Bailey N Clark, PA-C

Individual provider Surgical Physician Assistant · NPI 1790665719

Bailey N Clark, PA-C is a Physician Assistant in St Petersburg, Florida. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

625 6th Ave S Ste 450
St Petersburg, FL 33701-4629
Phone: (727) 898-2663
Fax: (727) 568-6836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8318 Market St, Lakewood Ranch, FL 34202-5137 — (727) 898-2663
  • 3440 W Dr Martin Luther King Jr Blvd Ste 200, Tampa, FL 33607-6223 — (813) 879-2663

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9120727 (FL)

Record details

NPI number1790665719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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