Courtney A. Clark, DO
Pediatrics Physician · Picayune, MS
Courtney A. Clark, DO is a pediatrics physician with a practice address in Picayune, Mississippi, and NPI 1790100113, issued on Feb 21, 2014. Check the license (Mississippi 29407, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Courtney A. Clark
- Credential
- DO
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- 29407 MS
1790100113 VA
Self-reported in NPPES; status is on the state search - Practice location
- 2274 Highway 43 S, Picayune, MS 39466
- Phone
- (601) 347-9024
- Enumerated
- Feb 21, 2014
- Record last updated
- Nov 15, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (601) 798-5914
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 417 in Mississippi → Look up another NPI →
Also registered at 2274 Highway 43 S
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Courtney A. Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 29407Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $23.40
1 payment: food and beverage; the largest payer was Teva Pharmaceuticals USA, Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Courtney A. Clark among 417 pediatrics physician records in Mississippi
Courtney A. Clark, DO is one of 417 pediatrics physician records with a practice address in Mississippi. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 68% of them.
- NPI issued2014 · 68% of these records are older, 29% newer
- In a Medicare fileYes · 58% of these records are
- In the CMS Doctors and Clinicians fileNo · 11% of these records are
- Record last updated2021 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
4 pediatrics physician records list a practice address in Picayune
They are 4 of the 248 NPPES records with a practice address in Picayune, and 417 pediatrics physician records in Mississippi.
All 417 in Mississippi → Every provider in Picayune → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Alicia Pressley-Moss, M.D.Picayune, MS 394661407112089
- April Ross, M.D.Picayune, MS 394661982782330
- Ashraf Tabatabaii, MDPicayune, MS 394661679726905
- Nicole Carden, M.D.Petal, MS 394651609288141
- Natoya Barnett-Grindley, MDLucedale, MS 394521134350465
- Tara Mallett, D.O.Lucedale, MS 394521467565267
- Amanda Shoubaki, DOLaurel, MS 394411780172213
- Terry Bang, M.D.Laurel, MS 394401316359789
Common questions
What is Courtney A. Clark, DO's NPI number?
Courtney A. Clark, DO's National Provider Identifier (NPI) is 1790100113, issued on Feb 21, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Courtney A. Clark, DO located?
The NPPES record lists a practice address at 2274 Highway 43 S, Picayune, MS, 39466. Phone: (601) 347-9024. Providers update this record themselves, so call before visiting.
How can I verify Courtney A. Clark, DO's license?
NPPES lists Mississippi license number 29407, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.