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 - Trauma Surgery in Greenville, NC

Active since May 07, 2019PECOS Enrolled
503 BOWMAN GRAY DR, GREENVILLE, NC 27834(252) 816-0600(252) 816-0721 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Sep 6, 2026, May 7, 2019 (3 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 trauma surgery 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 Taxonomy2086S0127X
Provider Legal NameMICHAEL DAVID CLARKCredential: MD, PHD
Location Address503 BOWMAN GRAY DRGreenville, NC 27834-7286
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Fax(252) 816-0721
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1255996013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in NC · 2025-03813
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2025-03813 (NC)
503 BOWMAN GRAY DR, 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).

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.

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.

Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Nurse Practitioner (Acute Care)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Physician Assistant (Surgical)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Surgery (Pediatric Surgery)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Nurse Practitioner (Family)
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Surgery
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Dietitian, Registered
503 BOWMAN GRAY DR
GREENVILLE, NC 27834
Surgery
503 BOWMAN GRAY DR
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 503 Bowman Gray Dr, Greenville, NC 27834. The listed phone number is (252) 816-0600.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

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 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.