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

Frequently asked questions

Auto-generated from federal data
What is Dr. Annie Clark's medical specialty?
Dr. Annie Clark practices Physician Assistant in Owens Cross Roads, AL.
Where does Dr. Annie Clark practice?
Dr. Annie Clark practices at 6602 Hampton Bend Cir Se, Owens Cross Roads, AL 357638200. Office phone: 2566039685.
What is Dr. Annie Clark's NPI?
Dr. Annie Clark's National Provider Identifier (NPI) is 1114760204, issued by NPPES.