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JOHN B CLARK JR. M.D.
NPI 1003866443
Emergency Medicine in Charlotte, NC

Active since May 10, 2006
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207(704) 377-2424(704) 377-2687 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John B Clark Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN B CLARK JR. M.D. (NPI 1003866443) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (23260) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1003866443
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN B CLARK JR.Credential: M.D.
Location Address1900 RANDOLPH RD, STE 900Charlotte, NC 28207-1106
Mailing Address1900 Randolph Rd, Ste 900Charlotte, NC 28207-1106 · (704) 377-2424 · Fax (704) 377-2687
Phone(704) 377-2424
Fax(704) 377-2687
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 24, 2007
✔ NPI 1003866443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 23260
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1900 RANDOLPH RD, Charlotte, NC 28207
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Other Identifiers 6

MedicaidN23260SC
Medicaid89-22664NC
Medicare PIN205438GNC
Other930067545NC · Rr Medicare
Other22664NC · Bcbsnc
Medicare UPINC83241

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Infectious Disease)
1900 RANDOLPH RD, SUITE 216
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-5416
DR. SHANA DALE WALLACE MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1390
SACHIN JAMNADAS HANSALIA M.D.
Internal Medicine (Critical Care Medicine)
1900 RANDOLPH RD, SUITE 580
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-9900
JAMES E PUGH MD
Psychiatry & Neurology (Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Mecklenburg County (704) 334-7311
DONALD P. RUSH LCSW
Social Worker (Clinical)
1900 RANDOLPH RD, SUITE 800
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1246
EDWIN T HOLLOWAY M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
JOHN W RINGWOOD M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
ROBERT JOSEPH ATTORRI M.D.
Surgery
1900 RANDOLPH RD, STE 210
CHARLOTTE, NC 28207
Mecklenburg County (704) 370-0223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Clark's NPI number?

The NPI number for John Clark is 1003866443. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is John Clark located?

John Clark practices at 1900 Randolph Rd Ste 900, Charlotte, NC 28207. The listed phone number is (704) 377-2424.

What is John Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does John Clark accept?

Health plans from Blue Cross and Blue Shield of NC list John Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.