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DEANDRA L CLARK MD
NPI 1356315428
Pediatrics in Anderson, SC

Active since February 15, 2006
500 N FANT ST, SUITE C, ANDERSON, SC 29621(864) 225-7798(864) 512-3952 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deandra L Clark Md NPPES

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

DEANDRA L CLARK MD (NPI 1356315428) is an individual pediatrics provider in Anderson, South Carolina, licensed in South Carolina (TL32184) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1356315428
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDEANDRA L CLARKCredential: MD
Location Address500 N FANT ST, SUITE CAnderson, SC 29621-5702
Mailing Address500 N Fant St, Suite CAnderson, SC 29621-5702 · (864) 225-7798 · Fax (864) 512-3952
Phone(864) 225-7798
Fax(864) 512-3952
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 27, 2010
✔ NPI 1356315428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in SC · TL32184✔ Licensed in FL · ME76610
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
500 N FANT ST, Anderson, SC 29621
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Other Identifiers 3

Medicare PIN49961ZFL
Medicaid258609600FL
Medicare UPINH15419

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 8

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

JAMES H CARSON MD
Pediatrics
500 N FANT ST, SUITE C
ANDERSON, SC 29621
Anderson County (864) 512-3850
CARLY MARIE DOWLING MSW, LMSW
Social Worker
500 N FANT ST
ANDERSON, SC 29621
Anderson County (864) 512-3954
KIMBERLY SUE PITTS LISW-CP
Social Worker (Clinical)
500 N FANT ST
ANDERSON, SC 29621
Anderson County (864) 512-3954
ANMED HEALTH
Pediatrics
500 N FANT ST, SUITE C
ANDERSON, SC 29621
Anderson County (864) 225-7798
KENT B SIZEMORE MD
Pediatrics
500 N FANT ST, SUITE C
ANDERSON, SC 29621
Anderson County (864) 225-7798
JAE I SOHN MD
Pediatrics
500 N FANT ST, SUITE C
ANDERSON, SC 29621
Anderson County (864) 225-7798
ANMED HEALTH
Obstetrics & Gynecology
500 N FANT ST, SUITE B
ANDERSON, SC 29621
Anderson County (864) 964-1699
RUCHIKA JAIN MD
Pediatrics
500 N FANT ST, SUITE C
ANDERSON, SC 29621
Anderson County (864) 225-7798

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 Deandra Clark's NPI number?

The NPI number for Deandra Clark is 1356315428. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Deandra Clark located?

Deandra Clark practices at 500 N Fant St Suite C, Anderson, SC 29621. The listed phone number is (864) 225-7798.

What is Deandra Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Deandra Clark accept?

Health plans from First Choice Next and Molina Healthcare list Deandra 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 Deandra Clark was last updated on April 27, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.