MARK D CLARK FNP
NPI 1285631887
Nurse Practitioner - Acute Care in Gainesville, GA

Active since June 29, 2005PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
102 BARRETT ST, GAINESVILLE, GA 30501(770) 540-4274 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Jan 10, 2019, Dec 26, 2018 and 3 more (6 updates tracked since 2018).

About Mark D Clark Fnp NPPES

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

MARK D CLARK FNP (NPI 1285631887) is an individual acute care provider in Gainesville, Georgia, licensed in Georgia (RN128712) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1285631887
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMARK D CLARKCredential: FNP
Location Address102 BARRETT STGainesville, GA 30501-1356
Mailing Address102 Barrett StGainesville, GA 30501-1356 · (770) 540-4274
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 29, 2005
Last NPPES UpdateFebruary 5, 20216 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
NPI 1285631887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN128712
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN128712 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN128712 (GA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN128712 (GA)
102 BARRETT ST, Gainesville, GA 30501

Secondary Practice Location 1

Location 11240 Jesse Jewell Pkwy SEGainesville, GA 30501-3862 · Phone (770) 536-9864 · Fax (770) 297-5023

Other Identifiers 6

Other1738523GA · Wellcare
Medicaid615230572DGA
Medicaid615230572FGA
Other06423272GA · Amerigroup
Medicaid615230572CGA
Medicaid615230572EGA

Accepted 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

Mark D Clark Fnp 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 ID2961479324
PECOS Enrollment IDI20040914001333
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 2

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 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.
426 services229 patients
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.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.98
Promoting Interoperability94
Improvement Activities40
Cost77.6

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 Mark Clark's NPI number?

The NPI number for Mark Clark is 1285631887. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Where is Mark Clark located?

Mark Clark practices at 102 Barrett St, Gainesville, GA 30501. The listed phone number is (770) 540-4274.

What is Mark Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mark Clark enrolled in Medicare?

Yes. Mark 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 Mark Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mark 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.

When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.