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

Q: 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.

Q: What is James Darke's specialty?

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

Q: 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 4 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.

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: October 18, 2026.

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

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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

Phone(931) 245-8400

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

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Other Identifiers 1

Medicaid3339858TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show James Darke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Medical Group PC

Same address

General Practice

490 DUNLOP LN
Clarksville, TN 37040

Reassigned Medicare billing, Tennessee enrollment
58 clinicians in this Medicare group

NPI 1740242957 (931) 245-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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