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DR. JERROLD A CLARK MD
NPI 1700866324
Pathology - Anatomic Pathology & Clinical Pathology in Marietta, GA

Active since January 19, 2006
2275 NORTHWEST PARKWAY SE, SUITE 140, MARIETTA, GA 30067(770) 951-1793(770) 612-3380 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerrold A Clark Md NPPES

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

DR. JERROLD A CLARK MD (NPI 1700866324) is an individual anatomic pathology & clinical pathology provider in Marietta, Georgia, licensed in Georgia (026841) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1700866324
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JERROLD A CLARKCredential: MD
Location Address2275 NORTHWEST PARKWAY SE, SUITE 140Marietta, GA 30067-9319
Mailing Address14275 Midway Rd, Suite 400Addison, TX 75001-3614 · (770) 951-1793 · Fax (610) 271-4245
Phone(770) 951-1793
Fax(770) 612-3380
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMay 29, 2015
✔ NPI 1700866324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in GA · 026841
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.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 026841 (GA)
2275 NORTHWEST PARKWAY SE, Marietta, GA 30067
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Other Identifiers 12

Other52235375 007GA · Bcbs Macon Northside
Other52235375 008GA · Bcbs Bleckley
Other52235375 009GA · Bcbs Marietta
Medicaid202I220225GA
Medicaid000302112AGA
Medicare PIN220014937GA
Other345972GA · Wellcare
Other581267100GA · Tricare
Medicare PIN22CDBFR
Other52235375 005GA · Bcbs Coliseum
Other52235375 006GA · Bcbs Monroe
Medicare UPIND39603GA

Other Providers at the Same Location NPPES 2

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

DR. SARA ELIZABETH NASH M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2275 NORTHWEST PARKWAY SE, SUITE 140
MARIETTA, GA 30067
Cobb County (770) 951-1793
LYNN D COOPER MD
Pathology (Anatomic Pathology & Clinical Pathology)
2275 NORTHWEST PARKWAY SE, SUITE 140
MARIETTA, GA 30067
Cobb County (770) 951-1793

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 Jerrold Clark's NPI number?

The NPI number for Jerrold Clark is 1700866324. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Jerrold Clark located?

Jerrold Clark practices at 2275 Northwest Parkway SE Suite 140, Marietta, GA 30067. The listed phone number is (770) 951-1793.

What is Jerrold Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerrold Clark was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.