DR. JAMES PAUL DARKE MD
NPI 1376528968
Pediatrics in Clarksville, TN

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
490 DUNLOP LN, CLARKSVILLE, TN 37040(931) 245-8400(931) 245-8465 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2022, Nov 19, 2021, Nov 6, 2018 (3 updates tracked since 2018).

About Dr. James Paul Darke Md NPPES

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

DR. JAMES PAUL DARKE MD (NPI 1376528968) is an individual pediatrics provider in Clarksville, Tennessee, licensed in Tennessee (37668) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2001).

NPPES Registry Identity

NPI1376528968
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAMES PAUL DARKECredential: MD
Location Address490 DUNLOP LNClarksville, TN 37040
Mailing AddressPo Box 3799Clarksville, TN 37043 · (931) 245-7000 · Fax (931) 245-7069
Fax(931) 245-8465
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2001
Enumeration DateDecember 7, 2005
Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1376528968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · 37668
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.
490 DUNLOP LN, Clarksville, TN 37040

Other Identifiers 1

Medicaid3339858TN

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

Dr. James Paul Darke Md 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 ID2264426642
PECOS Enrollment IDI20040408001480
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 37040 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Family Medicine
490 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Practitioner (Pediatrics)
490 DUNLOP LN
CLARKSVILLE, TN 37040
Family Medicine
490 DUNLOP LN
CLARKSVILLE, TN 37040
Family Medicine
490 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Practitioner (Women's Health)
490 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Practitioner (Pediatrics)
490 DUNLOP LN
CLARKSVILLE, TN 37040
Internal Medicine
490 DUNLOP LN
CLARKSVILLE, TN 37040
Obstetrics & Gynecology
490 DUNLOP LN
CLARKSVILLE, TN 37040

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 James Darke's NPI number?

The NPI number for James Darke is 1376528968. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is James Darke located?

James Darke practices at 490 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 245-8400.

What is James Darke's specialty?

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

Is James Darke enrolled in Medicare?

Yes. James Darke 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 James Darke accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list James Darke 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 James Darke was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.