JOSHUA CODY CLARK MD
NPI 1174085955
Emergency Medicine in Jackson, TN

Q: What is Joshua Clark's NPI number?

The NPI number for Joshua Clark is 1174085955. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Q: What is Joshua Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joshua Clark was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2021, Apr 2, 2019 (2 updates tracked since 2019).

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About Joshua Cody Clark Md NPPES

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

JOSHUA CODY CLARK MD (NPI 1174085955) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Tennessee (63538) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Murray-calloway County Hospital, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1174085955

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJOSHUA CODY CLARKCredential: MD

Location Address620 SKYLINE DRJackson, TN 38301

Mailing Address620 Skyline DrJackson, TN 38301-3923

Phone(731) 541-5000

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2019

Enumeration DateApril 2, 2019

Last NPPES UpdateJune 20, 20222 updates tracked since enumeration

NPPES CertifiedJune 20, 2022

✔ NPI 1174085955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · 63538

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.

620 SKYLINE DR, Jackson, TN 38301

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Secondary Practice Location 1

Location 1920 Madison Ave Ste 447Memphis, TN 38103-3438 · Phone (615) 396-6449

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Cody Clark Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921333964

PECOS Enrollment IDI20240129004336

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Joshua Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Care Facilities PC

0.1 mi

Emergency Medicine

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
146 clinicians in this Medicare group

NPI 1538345855 (731) 541-6574

Racers Emergency Physicians PLLC

73 mi

Emergency Medicine

803 POPLAR ST
Murray, KY 42071

Reassigned Medicare billing, Kentucky enrollment
8 clinicians in this Medicare group

NPI 1811221492 (954) 939-5000

Shamrock Community Hospital Inc

79 mi

Family Medicine

5001 E MAIN ST
Erin, TN 37061

Reassigned Medicare billing, Tennessee enrollment
50 clinicians in this Medicare group

NPI 1033878277 (931) 289-4211

Green Valley Emergency Physicians, LLC

98 mi

Emergency Medicine

1530 LONE OAK RD
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
220 clinicians in this Medicare group

NPI 1720755739 (271) 444-2444

Middle Tennessee Emergency Physicians PC

119 mi

Emergency Medicine

2000 CHURCH STREET, EMERGENCY DEPT
Nashville, TN 37236

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Middle Tennessee Emergency Physicians, P.C.
225 clinicians in this Medicare group

NPI 1194758979 (615) 284-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

342 services324 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

133 services127 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

132 services128 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

35 services35 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180027

Location803 Poplar StreetMurray, KY 42071 · Calloway County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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