CLARK PALLIATIVE MEDICINE GROUP
NPI 1417680612
Internal Medicine - Hospice and Palliative Medicine in Alexandria, VA
About Clark Palliative Medicine Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK PALLIATIVE MEDICINE GROUP (NPI 1417680612) is a healthcare organization registered as a hospice and palliative medicine in Alexandria, Virginia and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Suffolk and lists Victor Pierre Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Palliative Medicine Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Clark Palliative Medicine Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clark Palliative Medicine Group's NPI number?
The NPI number for Clark Palliative Medicine Group is 1417680612. It was assigned to this organization in the NPPES registry on July 5, 2022.
Where is Clark Palliative Medicine Group located?
Clark Palliative Medicine Group is located at 2501 Parkers Ln Fl 4, Alexandria, VA 22306. The listed phone number is (703) 664-7000.
What is Clark Palliative Medicine Group's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.
Is Clark Palliative Medicine Group enrolled in Medicare?
Yes. Clark Palliative Medicine Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Palliative Medicine Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 2 Medicare specialties reassign their Medicare billing to Clark Palliative Medicine Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17) and Hospitalist (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Clark Palliative Medicine Group accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Clark Palliative Medicine Group 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 Clark Palliative Medicine Group was last updated on February 5, 2026. 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.
# Clark Palliative Medicine Group · NPI 1417680612
Hospice and Palliative Medicine organization in Alexandria, Virginia. Organization record, active in the CMS NPPES registry since July 5, 2022.
## Identity
- **NPI:** 1417680612 (Entity type: Organization)
- **Enumerated:** July 5, 2022
- **Primary specialty:** Internal Medicine - Hospice and Palliative Medicine · taxonomy 207RH0002X
- **Organization subpart:** Yes (part of Clark Alliance Services Inc)
- **Authorized official:** Victor Clark, OWNER
## Practice location
- **Address:** 2501 PARKERS LN FL 4, Alexandria, VA 22306-3209
- **Phone:** (703) 664-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Hospitalist (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417680612) · Data from the CMS NPPES public registry.