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NPI · 1326079039 · NPPES-sourced

Robert B Clark Jr MD LLC

ActiveSpecialist
NPI Number
1326079039
Type 2 · Organisation
Taxonomy Code
174400000X
Contact
(912) 537-6634
License GA · 020521
Last Updated
Enumerated
Primary practice addressGA · 30474
1811 Manning DriveVidalia, GA 30474
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About this NPIWhat this record shows.

NPI 1326079039 is registered to Robert B Clark Jr MD LLC, a healthcare organisation classified as "Specialist" and located at 1811 Manning Drive in Vidalia, Georgia. The organisation's authorised official is Priscilla Edge. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 449866340GA· Issued by MEDICAID REFERRAL
  • 1144289349GU· Issued by PERSONAL NPI NUMBER 1144289349
  • GRP7739GA· Issued by MEDICARE GROUP NUMBER

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Robert B Clark Jr MD LLC accepts. To confirm in-network status with your specific health plan, contact Robert B Clark Jr MD LLC directly at (912) 537-6634.

Frequently asked

Yes. NPI 1326079039 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (912) 537-6634.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Robert B Clark Jr MD LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy174400000X
Last updated
Enumerated
StatusActive
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