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

Miss. Chasity Clark, PA

Individual provider Physician Assistant · NPI 1205385655

Miss. Chasity Clark, PA is a Physician Assistant in Centreville, Alabama. Qualified in 2016, 10 years ago. Practices with Cahaba Medical Care Foundation, a 100-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

405 Belcher St
Centreville, AL 35042-2946
Phone: (205) 926-2992
Fax: (205) 316-7675
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.1165 (AL)

Record details

NPI number1205385655
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cahaba Medical Care Foundation — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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