Doctor profile · Federal record

Dr. ANNIE CLARK, PA

Physician Assistant · OWENS CROSS ROADS, AL

  • NPI 1114760204
  • 2 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6602 HAMPTON BEND CIR SE
OWENS CROSS ROADS, AL 357638200
(256) 603-9685

Credentials & registration

NPPES · NUCC
NPI registered
June 2024 — 2 yrs on file
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114760204. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Medtronic, Inc. 1 $16.15

By nature of payment

Food and Beverage
$16

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 17, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›