MR. DARRICK LAMONT CLARK PA
NPI 1427297811
Physician Assistant - Surgical in Canton, GA

Q: What is Darrick Clark's NPI number?

The NPI number for Darrick Clark is 1427297811. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Q: What is Darrick Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Darrick Clark was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 09, 2009

111 HOLLY MILL VILLAGE DR, CANTON, GA 30114(678) 787-8173 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mr. Darrick Lamont Clark Pa NPPES

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

MR. DARRICK LAMONT CLARK PA (NPI 1427297811) is an individual surgical provider in Canton, Georgia, licensed in Georgia (3053) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1427297811

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. DARRICK LAMONT CLARKCredential: PA

Location Address111 HOLLY MILL VILLAGE DRCanton, GA 30114-7175

Mailing Address111 Holly Mill Village DrCanton, GA 30114-7175 · (678) 787-8173

Phone(678) 787-8173

Sole ProprietorYes

Enumeration DateFebruary 9, 2009

Last NPPES UpdateFebruary 7, 2017

✔ NPI 1427297811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in GA · 3053

111 HOLLY MILL VILLAGE DR, Canton, GA 30114

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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 Darrick Clark's NPI number?

The NPI number for Darrick Clark is 1427297811. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Darrick Clark located?

Darrick Clark practices at 111 Holly Mill Village Dr, Canton, GA 30114. The listed phone number is (678) 787-8173.

What is Darrick Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Darrick Clark was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.