CLARK PEDIATRIC MEDICINE LLC
NPI 1417885583
Pediatrics in Anderson, SC

Q: What is Clark Pediatric Medicine LLC's NPI number?

The NPI number for Clark Pediatric Medicine LLC is 1417885583. It was assigned to this organization in the NPPES registry on May 11, 2026.

Q: What is Clark Pediatric Medicine LLC's specialty?

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

Active since May 11, 2026

1530 N FANT ST STE C1, ANDERSON, SC 29621(864) 559-8464 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clark Pediatric Medicine Llc NPPES

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

CLARK PEDIATRIC MEDICINE LLC (NPI 1417885583) is a healthcare organization registered as a pediatrics in Anderson, South Carolina and active in the NPI registry since May 2026. The organization lists Sara Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1417885583

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCLARK PEDIATRIC MEDICINE LLC

Location Address1530 N FANT ST STE C1Anderson, SC 29621-4700

Mailing Address119 Kilsprings RdAnderson, SC 29621-4224 · (864) 387-0016

Phone(864) 559-8464

Organization SubpartNo

Authorized OfficialSara ClarkOwner · (864) 387-0016

Enumeration DateMay 11, 2026

NPPES CertifiedMay 11, 2026

✔ NPI 1417885583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

1530 N FANT ST STE C1, Anderson, SC 29621

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pediatric Medicine LLC's NPI number?

The NPI number for Clark Pediatric Medicine LLC is 1417885583. It was assigned to this organization in the NPPES registry on May 11, 2026.

Where is Clark Pediatric Medicine LLC located?

Clark Pediatric Medicine LLC is located at 1530 N Fant St Ste C1, Anderson, SC 29621. The listed phone number is (864) 559-8464.

What is Clark Pediatric Medicine LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Clark Pediatric Medicine LLC was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.