CLARK FAMILY MEDICINE, LLC
NPI 1841435138
Clinic/Center - Primary Care in Springfield, MO
About Clark Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK FAMILY MEDICINE, LLC (NPI 1841435138) is a healthcare organization registered as a primary care in Springfield, Missouri and active in the NPI registry since December 2008. The organization lists Jonathan Lee Clark, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clark Family Medicine, Llc 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 Clark Family Medicine, LLC, 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 Clark Family Medicine, LLC's NPI number?
The NPI number for Clark Family Medicine, LLC is 1841435138. It was assigned to this organization in the NPPES registry on December 16, 2008.
Where is Clark Family Medicine, LLC located?
Clark Family Medicine, LLC is located at 1200 E Woodhurst Dr Suite Q-200, Springfield, MO 65804. The listed phone number is (417) 881-5639.
What is Clark Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Clark Family Medicine, LLC enrolled in Medicare?
Yes. Clark Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clark Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clark Family Medicine, LLC. 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.
When was this NPI record last updated?
The NPPES record for Clark Family Medicine, LLC was last updated on December 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Clark Family Medicine, Llc · NPI 1841435138
Primary Care organization in Springfield, Missouri. Organization record, active in the CMS NPPES registry since December 16, 2008.
## Identity
- **NPI:** 1841435138 (Entity type: Organization)
- **Enumerated:** December 16, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jonathan Clark, PHYSICIAN
## Practice location
- **Address:** 1200 E WOODHURST DR, SUITE Q-200, Springfield, MO 65804-4261
- **Phone:** (417) 881-5639 · **Fax:** (417) 881-5664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1841435138) · Data from the CMS NPPES public registry.