BADIE T. CLARK III MD
NPI 1629272182
Pediatrics in Goldsboro, NC

Q: What is Badie Clark's NPI number?

The NPI number for Badie Clark is 1629272182. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Q: What is Badie Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Badie Clark was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 11, 2007PECOS Enrolled

2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 587-4394(919) 587-2998 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2024, Apr 24, 2018, Dec 13, 2015 (3 updates tracked since 2015).

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About Badie T. Clark Iii Md NPPES

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

BADIE T. CLARK III MD (NPI 1629272182) is an individual pediatrics provider in Goldsboro, North Carolina, licensed in North Carolina (2005-00825) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1629272182

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBADIE T. CLARK IIICredential: MD

Location Address2700 WAYNE MEMORIAL DRGoldsboro, NC 27534-9494

Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490

Phone(919) 587-4394

Fax(919) 587-2998

Sole ProprietorNo

Enumeration DateJune 11, 2007

Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration

NPPES CertifiedNovember 7, 2024

✔ NPI 1629272182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2005-00825

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 2005-00825 (NC)

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 200500825 (NC)

2700 WAYNE MEMORIAL DR, Goldsboro, NC 27534

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Secondary Practice Location 1

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 772-9202 ext. 402 · Fax (910) 772-9452

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Badie T. Clark Iii Md 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

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

Unc Physicians Network, LLC

34 mi

Family Medicine

403 FAIRVIEW ST
Clinton, NC 28328

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1164793576 (910) 592-6011

Emergency Coverage, LLC

297 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, North Carolina enrollment
557 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

SUMMER GRAHAM CARR FNP

Nurse Practitioner (Family)