TERI CLARK DO
NPI 1316732175
Student in an Organized Health Care Education/Training Program in Columbus, GA

Active since April 11, 2025PECOS Enrolled
1900 10TH AVE, COLUMBUS, GA 31901(706) 571-1000 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teri Clark Do NPPES

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

TERI CLARK DO (NPI 1316732175) is an individual student in an organized health care education/training program in Columbus, Georgia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316732175
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTERI CLARKCredential: DO
Location Address1900 10TH AVEColumbus, GA 31901-3600
Mailing Address2006 Ashley DrPhenix City, AL 36867-1738 · (334) 614-7583
Sole ProprietorNo
Enumeration DateApril 11, 2025
NPPES CertifiedApril 11, 2025
NPI 1316732175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 10TH AVE, Columbus, GA 31901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Teri Clark Do 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.

Family Medicine
1900 10TH AVE
COLUMBUS, GA 31901
Obstetrics & Gynecology (Obstetrics)
1900 10TH AVE, SUITE 200
COLUMBUS, GA 31901
Podiatrist
1900 10TH AVE, SUITE 120
COLUMBUS, GA 31901
Podiatrist
1900 10TH AVE, STE 120
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE, SUITE 100
COLUMBUS, GA 31901
Internal Medicine (Infectious Disease)
1900 10TH AVE, SUITE 110
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE, SUITE # 100
COLUMBUS, GA 31901
Surgery
1900 10TH AVE, STE 201
COLUMBUS, GA 31901

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 Teri Clark's NPI number?

The NPI number for Teri Clark is 1316732175. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Teri Clark located?

Teri Clark practices at 1900 10th Ave, Columbus, GA 31901. The listed phone number is (706) 571-1000.

What is Teri Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Teri Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Teri Clark was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.