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DR. PRESTON SAMUEL CLARK JR. MD
NPI 1790835940
Internal Medicine in Greensboro, NC

Active since January 11, 2007
1511 WESTOVER TERRACE, SUITE 101, GREENSBORO, NC 27408(336) 373-0311(336) 373-1150 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Preston Samuel Clark Jr. Md NPPES

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

DR. PRESTON SAMUEL CLARK JR. MD (NPI 1790835940) is an individual internal medicine provider in Greensboro, North Carolina, licensed in North Carolina (21016) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1790835940
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRESTON SAMUEL CLARK JR.Credential: MD
Location Address1511 WESTOVER TERRACE, SUITE 101Greensboro, NC 27408
Mailing Address1511 Westover Terrace, Suite 101Greensboro, NC 27408 · (336) 373-0311 · Fax (336) 373-1150
Phone(336) 373-0311
Fax(336) 373-1150
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 10, 2012
✔ NPI 1790835940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 21016
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1511 WESTOVER TERRACE, Greensboro, NC 27408
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Other Identifiers 3

Medicaid8922705NC
Medicare UPINC80879
Medicare ID-Type Unspecified201763

Other Providers at the Same Location NPPES

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

MRS. ANNE ROBERTS THOMAS PA-C
Physician Assistant
1511 WESTOVER TERRACE, STE. 107
GREENSBORO, NC 27408
Guilford County (336) 398-5155

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 Preston Clark's NPI number?

The NPI number for Preston Clark is 1790835940. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Preston Clark located?

Preston Clark practices at 1511 Westover Terrace Suite 101, Greensboro, NC 27408. The listed phone number is (336) 373-0311.

What is Preston Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Preston Clark was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.