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

Roy Ellis Clark, MS, CCC-A

Individual provider Audiologist-Hearing Aid Fitter · NPI 1285808188

Roy Ellis Clark, MS, CCC-A is a Qualified Audiologist in Columbus, Indiana. Qualified in 1992, 34 years ago. Practices with Otolaryngology Specialty Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
34
Licensed in
IN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

2345 Northpark Dr
Columbus, IN 47203-4473
Phone: (812) 669-1490
Fax: (812) 669-1491
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 23002042 (IN)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence 23002042 (IN)

Record details

NPI number1285808188
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-A
Sole proprietorYes
NPI enumeratedApril 22, 2008
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Otolaryngology Specialty Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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