Carla Clark Gay, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Dublin, Georgia. Her current practice location is
102 Fairview Park Dr, Dublin, Georgia. You can reach out to her office (for appointments etc.) via phone at
(478) 272-8382.
Carla Clark Gay is licensed to practice in Georgia (license number RN230655) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487161030.
Physician's Profile
| Full Name | Carla Clark Gay |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 102 Fairview Park Dr, Dublin, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487161030
- Provider Enumeration Date: 01/04/2018
- Last Update Date: 10/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719233543
- Enrollment ID: I20180709001430
Medical Identifiers
Medical identifiers for Carla Clark Gay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487161030 | NPI | - | NPPES |
| 003202402A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | RN230655 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN230655 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carla Clark Gay allows following entities to bill medicare on her behalf.
| Entity Name | Georgia Em-i Medical Services Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
|---|
| Entity Name | Physicians Staffing Solutions |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205174182 PECOS PAC ID: 8123266400 Enrollment ID: O20130528000335 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carla Clark Gay is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Carla Clark Gay, NP 102 Fairview Park Dr, Dublin, GA 31021-2500 Ph: (478) 272-8382 | Carla Clark Gay, NP 102 Fairview Park Dr, Dublin, GA 31021-2500 Ph: (478) 272-8382 |
Reviews and Comments