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

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: July 19, 2026.

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
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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. BASSAM NICHOLAS SHAMMA MD
Obstetrics & Gynecology
4607 MACCORKLE AVE SW, STE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7919
CRIGGER AND ASSOCIATES ENT PLLC
Otolaryngology
4607 MACCORKLE AVE SW, STE 406
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7980
MRS. LAURA MICHELE BLAKE LPC
Counselor (Professional)
4607 MACCORKLE AVE SW, SUITE 305
CHARLESTON, WV 25309
Kanawha County (304) 767-7820
CYNDI LEE MURRAY M.S.
Audiologist
4607 MACCORKLE AVE SW, SUITE 406
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7985
MRS. AMY CHRISTINE BRITTON-MCQUADE LICSW
Social Worker
4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7820
DR. DAVID WARD RANSON MD
Surgery
4607 MACCORKLE AVE SW, SUITE 306
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-7347
DR. KARA MICHELLE WHITE DO
Pediatrics
4607 MACCORKLE AVE SW, STE 400
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4400
MS. SARAH ELIZABETH HICKS MA
Psychologist
4607 MACCORKLE AVE SW, SUITE 305
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7825

Frequently Asked Questions

What is Clark Childers's NPI number?

The NPI number assigned to this healthcare provider is 1184793150, enumerated as an "individual" on November 06, 2006.

Where is the provider located?

The provider is located at 4607 MACCORKLE AVE SW MP STE 204 SOUTH CHARLESTON, WV 25309 and the phone number is (304) 767-7930.

What is the provider's specialty?

Pediatrics with taxonomy code 208000000X.

What insurance does Clark Childers accept?

The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.