J.DOUGLAS CLARK, MD PC
NPI 1730229808
Internal Medicine - Critical Care Medicine in Spartanburg, SC
About J.douglas Clark, Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J.DOUGLAS CLARK, MD PC (NPI 1730229808) is a healthcare organization registered as a critical care medicine in Spartanburg, South Carolina and active in the NPI registry since February 2007. The organization lists Darla M Brown, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
J.douglas Clark, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to J.Douglas Clark, MD PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 J.Douglas Clark, MD PC's NPI number?
The NPI number for J.Douglas Clark, MD PC is 1730229808. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is J.Douglas Clark, MD PC located?
J.Douglas Clark, MD PC is located at 2030 North Church Place, Spartanburg, SC 29303. The listed phone number is (864) 582-6858.
What is J.Douglas Clark, MD PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is J.Douglas Clark, MD PC enrolled in Medicare?
Yes. J.Douglas Clark, MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through J.Douglas Clark, MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pulmonary Disease) reassigns their Medicare billing to J.Douglas Clark, MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does J.Douglas Clark, MD PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 1 other insurer list J.Douglas Clark, MD PC 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 J.Douglas Clark, MD PC was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# J.douglas Clark, Md Pc · NPI 1730229808
Critical Care Medicine organization in Spartanburg, South Carolina. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1730229808 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **Organization subpart:** No
- **Authorized official:** Darla Brown, OFFICE MANAGER
## Practice location
- **Address:** 2030 NORTH CHURCH PLACE, Spartanburg, SC 29303-2796
- **Phone:** (864) 582-6858 · **Fax:** (864) 585-0999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pulmonary Disease) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2012
- **Other identifiers:** Medicare UPIN A98614 (SC); Other 8688 (SC); Other 290009501 (SC); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1730229808) · Data from the CMS NPPES public registry.