CLARK FAMILY MEDICINE
NPI 1194199919
Clinic/Center - Primary Care in Miramar Beach, FL

NPI Status: Active since November 17, 2015

Contact Information

12815 US HIGHWAY 98 W STE 116
MIRAMAR BEACH, FL
ZIP 32550
Phone: (850) 269-0111
Fax: (850) 269-0114

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  • Organization
  • Clinic/Center
  • Primary Care

About CLARK FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Clark Family Medicine, a primary care provider established in Miramar Beach, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1194199919 assigned on November 2015. The practitioner's primary taxonomy code is 261QP2300X with license number ME0073997 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Lisa Bardy Clark M.d. (Owner)

NPI
1194199919
Provider Name
CLARK FAMILY MEDICINE
Entity Type
Organization
Location Address
12815 US HIGHWAY 98 W STE 116 MIRAMAR BEACH, FL 32550
Location Phone
(850) 269-0111
Location Fax
(850) 269-0114
Mailing Address
12815 US HIGHWAY 98 W STE 116 MIRAMAR BEACH, FL 32550
Mailing Phone
(850) 269-0111
Mailing Fax
(850) 269-0114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2015
Last Update Date
11-17-2015
Code Navigator

A primary care provider (PCP) like Clark Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
ME0073997
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LISA BARDY CLARK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(850) 269-0111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G77346MEDICARE UPIN (02)FL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194199919, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 2 + 9 + 1 + 8 + 9 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1194199919.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

General Practice
12815 US HIGHWAY 98 W STE 116
MIRAMAR BEACH, FL 32550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194199919, enumerated as an "organization" on November 17, 2015.

The provider is located at 12815 US HIGHWAY 98 W STE 116 MIRAMAR BEACH, FL 32550 and the phone number is (850) 269-0111.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.