Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL DAVID CLARK MD, PHD
NPI 1255996013
Surgery - Surgical Critical Care in Greenville, NC

Active since May 07, 2019PECOS Enrolled
600 MOYE BLVD, GREENVILLE, NC 27834(414) 899-4398 Get Directions Write a Review

NPPES record last updated: September 6, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 6, 2026, May 7, 2019 (2 updates tracked since 2019).

About Michael David Clark Md, Phd NPPES

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

MICHAEL DAVID CLARK MD, PHD (NPI 1255996013) is an individual surgical critical care provider in Greenville, North Carolina, licensed in North Carolina (2025-03813) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255996013
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameMICHAEL DAVID CLARKCredential: MD, PHD
Location Address600 MOYE BLVDGreenville, NC 27834-4300
Mailing Address600 Moye BlvdGreenville, NC 27834-4300
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateSeptember 6, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2026
✔ NPI 1255996013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in NC · 2025-03813
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
600 MOYE BLVD, Greenville, NC 27834

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Clark Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Speech-Language Pathologist
600 MOYE BLVD, SCHOOL OF ALLIED HEALTH SCIENCES/CSDI
GREENVILLE, NC 27834
Pathology (Anatomic Pathology & Clinical Pathology)
600 MOYE BLVD
GREENVILLE, NC 27834
Internal Medicine (Rheumatology)
600 MOYE BLVD
GREENVILLE, NC 27834
Pediatrics
600 MOYE BLVD, PEDIATRIC OUTPATIENT CENTER
GREENVILLE, NC 27834
Internal Medicine (Hematology & Oncology)
600 MOYE BLVD, LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY
GREENVILLE, NC 27834
Surgery
600 MOYE BLVD, LEO JENKINS CANCER CENTER
GREENVILLE, NC 27834
Pathology (Anatomic Pathology & Clinical Pathology)
600 MOYE BLVD, ECU PHYSICIANS PATHOLOGY BRODY OUTPATIENT CENTER
GREENVILLE, NC 27834
Speech-Language Pathologist
600 MOYE BLVD
GREENVILLE, NC 27834

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1255996013. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Michael Clark located?

Michael Clark practices at 600 Moye Blvd, Greenville, NC 27834. The listed phone number is (414) 899-4398.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Michael Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on September 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.