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DR. ROBERT AUSTIN CLARK MD
NPI 1801699566
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA

Active since March 28, 2025PECOS Enrolled
5000 HENNESSY BLVD, BATON ROUGE, LA 70808(225) 765-6565 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Austin Clark Md NPPES

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

DR. ROBERT AUSTIN CLARK MD (NPI 1801699566) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801699566
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ROBERT AUSTIN CLARKCredential: MD
Location Address5000 HENNESSY BLVDBaton Rouge, LA 70808-4375
Mailing Address5246 Brittany DrBaton Rouge, LA 70808-9136 · (225) 757-4080
Phone(225) 765-6565
Sole ProprietorYes
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1801699566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5000 HENNESSY BLVD, Baton Rouge, LA 70808
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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. Robert Austin 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.

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.

MS. JESSICA LYNN BROUSSE NP
Nurse Practitioner
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-4050
CASEY M LEBLANC MPAS, PA-C
Physician Assistant
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-0552
DR. RAYMOND TUCKER PHD
Psychologist (Clinical)
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-6565
KEENAN JAMES BUIE
Student in an Organized Health Care Education/Training Program
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 281-0127
KEVIN PATRICK HAYNES JR. MD
Physical Medicine & Rehabilitation
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-8987
TAHA AHMED MD
Hospitalist
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-4050
DR. JON RICHARD JACKSON M.D.
Internal Medicine
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-4050
SERENA M AUNON-CHANCELLOR MD
Internal Medicine
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4080

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1801699566. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Robert Clark located?

Robert Clark practices at 5000 Hennessy Blvd, Baton Rouge, LA 70808. The listed phone number is (225) 765-6565.

What is Robert Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Robert Clark enrolled in Medicare?

Yes. Robert Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.