JAMES M CLARK CFNP
NPI 1639418486
Nurse Practitioner - Family in Jackson, MS
About James M Clark Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES M CLARK CFNP (NPI 1639418486) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R854948) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James M Clark Cfnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Ridgeland, MS 39157
- Reassigned Medicare billing, Mississippi enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 James Clark's NPI number?
The NPI number for James Clark is 1639418486. It was assigned to this individual provider in the NPPES registry on February 13, 2013.
Where is James Clark located?
James Clark practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-6525.
What is James Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is James Clark enrolled in Medicare?
Yes. James Clark 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.
Which organizations bill Medicare for James Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Clark reassigns Medicare benefits to 2 organizations: Rapha Wellness And Primary Care, LLC (Flowood, MS) and Southern Medical Consultants LLC (Ridgeland, MS). 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 James Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Clark accept?
Health plans from Oscar Health Plan, Inc. list James 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 James Clark was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# James M Clark, CFNP · NPI 1639418486
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since February 13, 2013.
## Identity
- **NPI:** 1639418486 (Entity type: Individual)
- **Enumerated:** February 13, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R854948 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-6525 · **Fax:** (601) 984-5151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rapha Wellness And Primary Care, LLC (NPI 1457051591, Flowood, MS); Southern Medical Consultants LLC (NPI 1215396577, Ridgeland, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 30, 2018
- **Other identifiers:** Medicaid 07876712 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1639418486) · Data from the CMS NPPES public registry.