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

McKenzie T Clark

Individual provider Physician Assistant · NPI 1306578828

McKenzie T Clark is a Physician Assistant in Gadsden, Alabama. Qualified in 2024, 2 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

105 Cleveland Ct
Gadsden, AL 35901-4116
Phone: (256) 295-0473
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.2747 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306578828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2022
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address105 Cleveland Ct, Gadsden, AL 35901-4116

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)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Gadsden