1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Pediatrics
  6. NPI Profile

DR. MATTHEW THOMAS CLARK M.D.
NPI 1467872044
Pediatrics - Pediatric Rheumatology in Greenville, SC

Active since April 22, 2014PECOS Enrolled
200 PATEWOOD DR STE A200, GREENVILLE, SC 29615(864) 454-5004(864) 241-9202 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2022, Oct 15, 2020, Apr 2, 2017 (3 updates tracked since 2017).

About Dr. Matthew Thomas Clark M.d. NPPES

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

DR. MATTHEW THOMAS CLARK M.D. (NPI 1467872044) is an individual pediatric rheumatology provider in Greenville, South Carolina, licensed in South Carolina (87391) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1467872044
Entity TypeIndividualMale
Primary Taxonomy2080P0216X
Provider Legal NameDR. MATTHEW THOMAS CLARKCredential: M.D.
Location Address200 PATEWOOD DR STE A200Greenville, SC 29615-3580
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Phone(864) 454-5004
Fax(864) 241-9202
Sole ProprietorNo
Enumeration DateApril 22, 2014
Last NPPES UpdateSeptember 8, 20223 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1467872044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in SC · 87391
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License 55984 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 PATEWOOD DR STE A200, Greenville, SC 29615
Open in Google Maps ↗

Secondary Practice Location 1

Location 12200 Childrens Way, Suite 2404Nashville, TN 37232-0005 · Phone (615) 936-1000

Other Identifiers 1

MedicaidPENDINGSC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Dr. Matthew Thomas Clark M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Matthew Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ghs Partners In Health, Inc.
1.4 mi
Dermatology
920 WOODRUFF RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health University Medical Group
  • 3,281 clinicians in this Medicare group
NPI 1235446337 (864) 233-6338
Shriners Hospitals For Children
5.7 mi
Pediatric Orthopaedic Surgery
950 W FARIS RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 41 clinicians in this Medicare group
NPI 1134566953 (864) 271-3444

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

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.

JULIE ANNE MCELRATH PH.D.
Psychologist (Clinical)
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5115
STEVEN HSIANG YU MA MD
Pediatrics (Developmental - Behavioral Pediatrics)
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5115
STEPHANIE L. GOEI MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5540
DR. ETHAN CORY ALLEN ADKINS OD
Optometrist
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5540
AMY RUTH RAVENSCRAFT NP
Nurse Practitioner (Pediatrics)
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (886) 445-4511
DR. NICK JOSEPH MCLANE M.D.
Ophthalmology
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5540
MRS. WHITLEY L CALIFF LISW-CP
Social Worker (Clinical)
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 313-3475
CHARLES ROBERT HATCHER III M.D., MSCR
Pediatrics (Developmental - Behavioral Pediatrics)
200 PATEWOOD DR STE A200
GREENVILLE, SC 29615
Greenville County (864) 454-5115

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 Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1467872044. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Matthew Clark located?

Matthew Clark practices at 200 Patewood Dr Ste A200, Greenville, SC 29615. The listed phone number is (864) 454-5004.

What is Matthew Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Matthew Clark enrolled in Medicare?

Yes. Matthew Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Clark reassigns Medicare benefits to 2 organizations: Ghs Partners In Health, Inc. (Greenville, SC) and Shriners Hospitals For Children (Greenville, SC). Each 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 Matthew Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Matthew Clark 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 Matthew Clark was last updated on September 8, 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.