DR. GEORGE THOMAS CLARK III MD
NPI 1215977889
Specialist in Raleigh, NC

Q: What is George Clark's NPI number?

The NPI number for George Clark is 1215977889. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is George Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for George Clark was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 08, 2006PECOS EnrolledAccepts Medicare Assignment

3713 BENSON DRIVE, SUITE 201, CAROLINA VASCULAR SURGERY & DIAGNOSTICS, PA, RALEIGH, NC 27609(919) 235-3400(919) 235-3401 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. George Thomas Clark Iii Md NPPES

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

DR. GEORGE THOMAS CLARK III MD (NPI 1215977889) is an individual specialist in Raleigh, North Carolina, licensed in North Carolina (32073) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1985).

NPPES Registry Identity

NPI1215977889

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. GEORGE THOMAS CLARK IIICredential: MD

Location Address3713 BENSON DRIVE, SUITE 201, CAROLINA VASCULAR SURGERY & DIAGNOSTICS, PARaleigh, NC 27609-7372

Mailing Address3713 Benson Drive, Suite 201Raleigh, NC 27609-7372 · (919) 235-3400 · Fax (919) 235-3401

Phone(919) 235-3400

Fax(919) 235-3401

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1985

Enumeration DateJune 8, 2006

Last NPPES UpdateFebruary 1, 2012

✔ NPI 1215977889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 32073

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3713 BENSON DRIVE, SUITE 201, Raleigh, NC 27609

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Other Identifiers 9

OtherP00016339NC · Medicare Railroad

OtherC6338NC · Medcost

Other22713NC · Blue Cross/blue Shield

Other424855NC · Aetna

Medicare UPINC83250NC

Medicare ID-Type Unspecified212051DNC

Medicaid8922713NC

Other803254NC · Partners Medicare

Other3750391NC · Unitedhealthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. George Thomas Clark Iii 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 ID8426946674

PECOS Enrollment IDI20070710000093

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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

158 services110 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

128 services75 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

51 services42 patients

Laser destruction of incompetent vein of arm or leg using imaging guidance 36478

Laser destruction of an incompetent vein is a non-invasive procedure where a laser is used to seal off a malfunctioning vein in the arm or leg. The process is guided by imaging technology to ensure precision and effectiveness. This helps alleviate symptoms like pain and swelling.

36 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

CAROLINA VASCULAR SURGERY AND

Specialist

3713 BENSON DRIVE, SUITE 201, CAROLINA VASCULAR SURGERY & DIAGNOSTICS, PA
RALEIGH, NC 27609

Wake County (919) 235-3400

DR. CHRISTOPHER ROBERT LONGO MD

Specialist

3713 BENSON DRIVE, SUITE 201, CAROLINA VASCULAR SURGERY & DIAGNOSTICS, PA
RALEIGH, NC 27609

Wake County (919) 235-3400

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 George Clark's NPI number?

The NPI number for George Clark is 1215977889. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is George Clark located?

George Clark practices at 3713 Benson Drive, Suite 201 Carolina Vascular Surgery & Diagnostics, PA, Raleigh, NC 27609. The listed phone number is (919) 235-3400.

What is George Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is George Clark enrolled in Medicare?

Yes. George Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does George Clark accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list George Clark 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.

Is George Clark affiliated with any hospitals?

According to CMS data, George Clark is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for George Clark was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.