DR. GORDON H CLARK MD
NPI 1265546014
Family Medicine in Denham Springs, LA

Q: What is Gordon Clark's NPI number?

The NPI number for Gordon Clark is 1265546014. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Gordon Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Gordon Clark was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 August 18, 2006PECOS Enrolled

2314 S RANGE AVE, DENHAM SPRINGS, LA 70726(225) 480-4080(877) 485-4275 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2026, Nov 24, 2021, Oct 21, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Gordon H Clark Md NPPES

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

DR. GORDON H CLARK MD (NPI 1265546014) is an individual family medicine provider in Denham Springs, Louisiana, licensed in Louisiana (MD 203009) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265546014

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GORDON H CLARKCredential: MD

Location Address2314 S RANGE AVEDenham Springs, LA 70726-5216

Mailing Address2314 S Range AveDenham Springs, LA 70726-5216 · (225) 480-4080 · Fax (877) 485-4275

Phone(225) 480-4080

Fax(877) 485-4275

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1265546014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in LA · MD 203009✔ Licensed in CO · DR.0059785✔ Licensed in MS · 19473

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2314 S RANGE AVE, Denham Springs, LA 70726

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Other Identifiers 1

Medicaid1066656LA

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. Gordon H Clark Md 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 70726 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 3

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

DR. KERRY EUGENE SHAVER M.D.

Internal Medicine

2314 S RANGE AVE
DENHAM SPRINGS, LA 70726

Livingston Parish (225) 480-4080

MRS. ADRAVON S HENDERSON FNP

Nurse Practitioner (Family)

2314 S RANGE AVE
DENHAM SPRINGS, LA 70726

Livingston Parish (225) 480-4080

CENTERWELL SENIOR PRIMARY CARE LA PC

Internal Medicine

2314 S RANGE AVE
DENHAM SPRINGS, LA 70726

Livingston Parish (225) 480-4080

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 Gordon Clark's NPI number?

The NPI number for Gordon Clark is 1265546014. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Gordon Clark located?

Gordon Clark practices at 2314 S Range Ave, Denham Springs, LA 70726. The listed phone number is (225) 480-4080.

What is Gordon Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gordon Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gordon Clark was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.