CLARK MEDICAL GROUP, LLC
NPI 1477927192
Family Medicine in Statesboro, GA
About Clark Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK MEDICAL GROUP, LLC (NPI 1477927192) is a healthcare organization registered as a family medicine in Statesboro, Georgia and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Aaron Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clark Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2107683
Clark Medical Group, LLC · Statesboro, GAFrequently 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 Medical Group, LLC's NPI number?
The NPI number for Clark Medical Group, LLC is 1477927192. It was assigned to this organization in the NPPES registry on November 18, 2015.
Where is Clark Medical Group, LLC located?
Clark Medical Group, LLC is located at 117 Hill Pond Ln, Statesboro, GA 30458. The listed phone number is (912) 623-2155.
What is Clark Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clark Medical Group, LLC enrolled in Medicare?
Yes. Clark Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Clark Medical Group, LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clark Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2107683) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clark Medical Group, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Clark Medical Group, LLC 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 Medical Group, LLC was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Clark Medical Group, Llc · NPI 1477927192
Family Medicine organization in Statesboro, Georgia. Organization record, active in the CMS NPPES registry since November 18, 2015.
## Identity
- **NPI:** 1477927192 (Entity type: Organization)
- **Enumerated:** November 18, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Aaron Clark, OWNER
## Practice location
- **Address:** 117 HILL POND LN, Statesboro, GA 30458-0872
- **Phone:** (912) 623-2155 · **Fax:** (912) 623-2156
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477927192) · Data from the CMS NPPES public registry.