Nicole M Clark, PA-C - Medicare Physician Assistant in Saluda, SC

  1. Home
  2. Physician Assistant
  3. SC
  4. Saluda
Nicole M Clark, PA-C is a medicare enrolled "Physician Assistant" in Saluda, South Carolina. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Self Medical Group and her current practice location is 595 Newberry Hwy, Saluda, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 445-2500.

Nicole M Clark is licensed to practice in South Carolina (license number 2017) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114164142.

Contact Information

Nicole M Clark, PA-C
595 Newberry Hwy,
Saluda, SC 29138-7808
(864) 445-2500
(864) 445-3956

Map and Direction




Provider's Profile

Full NameNicole M Clark
GenderFemale
SpecialityPhysician Assistant
Experience18 Years
Location595 Newberry Hwy, Saluda, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole M Clark graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1114164142
  • Provider Enumeration Date: 01/13/2009
  • Last Update Date: 12/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810053212
  • Enrollment ID: I20131226000996

Medical Identifiers

Medical identifiers for Nicole M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114164142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2017 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Self Regional HealthcareGreenwood, SCHospital
Newberry County Memorial HospitalNewberry, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Self Medical Group6002953916399

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. Nicole M Clark 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 AddressPractice Location Address
Nicole M Clark, PA-C
595 Newberry Hwy,
Saluda, SC 29138-7808

Ph: (864) 445-2500		Nicole M Clark, PA-C
595 Newberry Hwy,
Saluda, SC 29138-7808

Ph: (864) 445-2500

Reviews and Comments


Physician Assistant Nurses in Saluda, SC

David I Stevens, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 595 Newberry Hwy, Saluda, SC 29138
Phone: 864-445-2500    Fax: 864-445-3956
Mackenzie Corley Yandle,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 102 R L Sawyer Md Dr, Saluda, SC 29138
Phone: 864-725-5355    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.