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MR. SAMUEL JASON CLARK PHYSICIAN ASSISTANT
NPI 1285983247
Physician Assistant in Beaufort, SC

Active since September 06, 2012
1 PINCKNEY BLVD, BEAUFORT, SC 29902(843) 228-5600 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Oct 5, 2021, May 23, 2019 (3 updates tracked since 2019).

About Mr. Samuel Jason Clark Physician Assistant NPPES

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

MR. SAMUEL JASON CLARK PHYSICIAN ASSISTANT (NPI 1285983247) is an individual physician assistant in Beaufort, South Carolina, licensed in South Carolina (5174) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1285983247
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SAMUEL JASON CLARKCredential: PHYSICIAN ASSISTANT
Location Address1 PINCKNEY BLVDBeaufort, SC 29902-6122
Mailing Address2283 Blakers BlvdBluffton, SC 29909-7808 · (513) 582-2485
Phone(843) 228-5600
Sole ProprietorYes
Enumeration DateSeptember 6, 2012
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1285983247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in SC · 5174✔ Licensed in NC · 0010-11081
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 PINCKNEY BLVD, Beaufort, SC 29902
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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.

SUSAN HEIM
Specialist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5232
JESSIE C SANTIAGO JR. PA C
Physician Assistant (Medical)
1 PINCKNEY BLVD, ATTN PROFESSIONAL AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JEREMY ROBERT GIES D.M.D.
Dentist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-3500
RAYMOND CROSS PT DPT
Physical Therapist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-1318
MICHAEL JAMES DAVIDSON RN
Nurse Anesthetist, Certified Registered
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5994
DOUGLAS ROGER GILLETT DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
KURT JOHN BREILING DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JOHN SCOTT DONOUGHE DO
Orthopaedic Surgery
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5455

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 Samuel Clark's NPI number?

The NPI number for Samuel Clark is 1285983247. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Samuel Clark located?

Samuel Clark practices at 1 Pinckney Blvd, Beaufort, SC 29902. The listed phone number is (843) 228-5600.

What is Samuel Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Samuel Clark was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.