JACK C CLARK JR. MD
NPI 1427092857
Family Medicine in Nashville, TN

Q: What is Jack Clark's NPI number?

The NPI number for Jack Clark is 1427092857. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Jack Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Clark was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 15, 2006

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2021, Sep 3, 2020 (2 updates tracked since 2020).

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About Jack C Clark Jr. Md NPPES

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

JACK C CLARK JR. MD (NPI 1427092857) is an individual family medicine provider in Nashville, Tennessee, licensed in Tennessee (23938) and active in the NPI registry since June 2006. He maintains a secondary practice location in Shelbyville.

NPPES Registry Identity

NPI1427092857

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJACK C CLARK JR.Credential: MD

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-3039

Mailing Address719 Thompson Ln Ste 30330Nashville, TN 37204-4701 · (615) 322-3000

Phone(615) 322-3000

Sole ProprietorNo

Enumeration DateJune 15, 2006

Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2021

✔ NPI 1427092857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 23938

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 11612 N Main St Ste BShelbyville, TN 37160-2392 · Phone (931) 685-2022 · Fax (931) 685-4158

Other Identifiers 2

Other080064805TN · Rr Medicare

Medicaid3826588TN

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.

DR. ENGLISH FLACK MD

Pediatrics (Pediatric Cardiology)