DR. CLARK EDWIN CHILDERS JR. M.D.
NPI 1184793150
Pediatrics in South Charleston, WV

Q: What is Clark Childers's NPI number?

The NPI number for Clark Childers is 1184793150. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Clark Childers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Childers was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 06, 2006PECOS Enrolled

4607 MACCORKLE AVE SW, MP STE 204, SOUTH CHARLESTON, WV 25309(304) 767-7930(304) 767-7935 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Clark Edwin Childers Jr. M.d. NPPES

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

DR. CLARK EDWIN CHILDERS JR. M.D. (NPI 1184793150) is an individual pediatrics provider in South Charleston, West Virginia, licensed in West Virginia (18115) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184793150

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. CLARK EDWIN CHILDERS JR.Credential: M.D.

Location Address4607 MACCORKLE AVE SW, MP STE 204South Charleston, WV 25309-1364

Mailing Address4607 Maccorkle Ave Sw, Mp Ste 204South Charleston, WV 25309-1364 · (304) 767-7930 · Fax (304) 767-7935

Phone(304) 767-7930

Fax(304) 767-7935

Sole ProprietorYes

Enumeration DateNovember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184793150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WV · 18115

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4607 MACCORKLE AVE SW, South Charleston, WV 25309

Open in Google Maps ↗

Other Identifiers 1

Medicaid0109655000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clark Edwin Childers Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

DR. KARA MICHELLE WHITE DO

Pediatrics

4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 766-4400

MELISSA N. BACCHUS, MD, PLLC

Pediatrics

4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 767-7930

WOMYN, INC.

Specialist

4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 768-7770

CYNTHIA COLEMAN

Nurse Practitioner (Family)

4607 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 414-2800

DR. ANDREA HILL M.D.

Obstetrics & Gynecology

4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 768-7228

DR. KIMBERLY BUSH UY M.D.

Obstetrics & Gynecology

4607 MACCORKLE AVE SW, SUITE 201
SOUTH CHARLESTON, WV 25309

Kanawha County (606) 679-8391

ELIZABETH L. BROWN, MD, PLLC

Internal Medicine

4607 MACCORKLE AVE SW, SUITE MP200
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 767-7810

MS. SARAH ELIZABETH HICKS MA

Psychologist

4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309

Kanawha County (304) 767-7825

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 Clark Childers's NPI number?

The NPI number for Clark Childers is 1184793150. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Clark Childers located?

Clark Childers practices at 4607 Maccorkle Ave SW Mp Ste 204, South Charleston, WV 25309. The listed phone number is (304) 767-7930.

What is Clark Childers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Clark Childers enrolled in Medicare?

Yes. Clark Childers is registered in the Medicare PECOS enrollment system.

What insurance does Clark Childers accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Clark Childers 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 Clark Childers was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.