CLARK MARTIN MD
NPI 1598415374
Internal Medicine in Gluckstadt, MS

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
102 LEXINGTON DR STE 100, GLUCKSTADT, MS 39110(601) 973-1688 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clark Martin Md NPPES

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

CLARK MARTIN MD (NPI 1598415374) is an individual internal medicine provider in Gluckstadt, Mississippi, licensed in Mississippi (35930) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598415374
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCLARK MARTINCredential: MD
Location Address102 LEXINGTON DR STE 100Gluckstadt, MS 39110-6952
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1598415374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 35930
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

102 LEXINGTON DR STE 100, Gluckstadt, MS 39110

Secondary Practice Locations 2

Location 1102 Lexington Dr Ste 100Gluckstadt, MS 39110-6952 · Phone (601) 973-1688 · Fax (601) 973-1690
Location 21225 N STATE STJACKSON, MS 39202-2064 · Phone (601) 968-5003 · Fax (601) 974-6245

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clark Martin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002331485
PECOS Enrollment IDI20251110003547
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110
Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110
Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110
Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110
Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110
Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110
Physician Assistant
102 LEXINGTON DR STE 100
MADISON, MS 39110
Nurse Practitioner (Family)
102 LEXINGTON DR STE 100
MADISON, MS 39110

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 Martin's NPI number?

The NPI number for Clark Martin is 1598415374. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Clark Martin located?

Clark Martin practices at 102 Lexington Dr Ste 100, Gluckstadt, MS 39110. The listed phone number is (601) 973-1688.

What is Clark Martin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clark Martin enrolled in Medicare?

Yes. Clark Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Clark Martin affiliated with any hospitals?

According to CMS data, Clark Martin is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Clark Martin was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.