DR. CHRIS ALLEN CLARK MD
NPI 1689634362
Pathology - Anatomic Pathology & Clinical Pathology in Cartersville, GA

Q: What is Chris Clark's NPI number?

The NPI number for Chris Clark is 1689634362. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Q: What is Chris Clark's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Chris Clark was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 25, 2006PECOS Enrolled

960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120(770) 382-1530(770) 387-8198 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Chris Allen Clark Md NPPES

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

DR. CHRIS ALLEN CLARK MD (NPI 1689634362) is an individual anatomic pathology & clinical pathology provider in Cartersville, Georgia, licensed in Georgia (039072) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689634362

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. CHRIS ALLEN CLARKCredential: MD

Location Address960 JOE FRANK HARRIS PKWY SECartersville, GA 30120-2129

Mailing AddressPo Box 30309Charleston, SC 29417-0309 · (843) 554-9300 · Fax (843) 566-8780

Phone(770) 382-1530

Fax(770) 387-8198

Sole ProprietorNo

Enumeration DateMarch 25, 2006

Last NPPES UpdateFebruary 21, 2008

✔ NPI 1689634362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in GA · 039072

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

960 JOE FRANK HARRIS PKWY SE, Cartersville, GA 30120

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Other Identifiers 2

Medicare UPING03192

Medicare PIN22BDCTQGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chris Allen Clark 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

MRS. QUYEN LE TA NP

Nurse Practitioner