Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. CHRISTOPHER WAYNE CLARK AGNP
NPI 1174455463
Nurse Practitioner in West Columbia, SC

Q: What is Christopher Clark's NPI number?

The NPI number for Christopher Clark is 1174455463. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Q: What is Christopher Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Christopher Clark was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 June 01, 2026

131 SUNSET CT, WEST COLUMBIA, SC 29169(803) 796-2222(803) 796-7839 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jun 1, 2026 (2 updates tracked since 2026).

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About Mr. Christopher Wayne Clark Agnp NPPES

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

MR. CHRISTOPHER WAYNE CLARK AGNP (NPI 1174455463) is an individual nurse practitioner in West Columbia, South Carolina, licensed in South Carolina (32311) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1174455463

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. CHRISTOPHER WAYNE CLARKCredential: AGNP

Location Address131 SUNSET CTWest Columbia, SC 29169-2429

Mailing Address131 Sunset CtWest Columbia, SC 29169-2429 · (803) 791-2000 · Fax (803) 796-7839

Phone(803) 796-2222

Fax(803) 796-7839

Sole ProprietorNo

Enumeration DateJune 1, 2026

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1174455463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 32311

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

131 SUNSET CT, West Columbia, SC 29169

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Other Providers at the Same Location NPPES 15

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

DR. ELIZABETH M MCMICKEN DNP, FNP-C

Nurse Practitioner