ROBERT E. CLARK M.D. – NPI #1518944198
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ROBERT CLARK is a physician located in MERIDIAN, MS. NPPES has assigned the NPI number 1518944198 to ROBERT CLARK on December 27, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Oct 21, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT CLARK below.

NPI Profile for
ROBERT E. CLARK

NPI Number
1518944198
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT E. CLARK
Credentials
M.D.
Primary location
1600 22ND AVE
MEDICAL TOWERS III
MERIDIAN, MS 39301-3223
Phone: (601) 483-5322 Fax: (601) 693-8081
Mailing address
PO BOX 749215
ATLANTA, GA 30374-9215
Phone: (901) 226-3186 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 21, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROBERT CLARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS00116455
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 MS 07973

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 1977
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROBERT CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • ANDERSON REGIONAL MEDICAL CENTER
      2124 14TH STREET
      MERIDIAN, MS 39301
    • RUSH FOUNDATION HOSPITAL
      1314 19TH AVE
      MERIDIAN, MS 39301
  • DIALYSIS FACILITY
    • FRESENIUS MEDICAL CARE MERIDIAN HOME LLC
      2400 15th ST
      Meridian, MS 39301
    • RCG MERIDIAN
      2205 HWY 39 NORTH
      MERIDIAN, MS 39301
    • RCG MISSISSIPPI INC
      1300 38TH AVENUE EAST
      MERIDIAN, MS 39301
    • RCG OF PHILADELPHIA
      1100 CENTRAL DRIVE
      PHILADELPHIA, MS 39350
    • RCG PHILADELPHIA
      PO BOX 6264
      PHILADELPHIA, MS 39350

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