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CLARK CENTER FOR COMPREHENSIVE MEDICINE P.C.
NPI 1861521031
Internal Medicine in Garden City, MI

Active since March 05, 2007CLIA 23D1054401 · Waiver
29521 FORD RD, GARDEN CITY, MI 48135(734) 367-1205(734) 367-1214 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2019, May 14, 2018 (2 updates tracked since 2018).

About Clark Center For Comprehensive Medicine P.c. NPPES

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

CLARK CENTER FOR COMPREHENSIVE MEDICINE P.C. (NPI 1861521031) is a healthcare organization registered as an internal medicine in Garden City, Michigan and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Donald Godfrey Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1861521031
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLARK CENTER FOR COMPREHENSIVE MEDICINE P.C.
Location Address29521 FORD RDGarden City, MI 48135
Mailing Address29521 Ford RdGarden City, MI 48135-2319 · (734) 367-1205 · Fax (734) 367-1214
Phone(734) 367-1205
Fax(734) 367-1214
Organization SubpartNo
Authorized OfficialDonald Godfrey ClarkOwner · (734) 367-1205
Enumeration DateMarch 5, 2007
Last NPPES UpdateMarch 15, 20192 updates tracked since enumeration
✔ NPI 1861521031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
29521 FORD RD, Garden City, MI 48135
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Other Identifiers 2

OtherDB2730Medicare Rail Road
Other110H221360Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Clark Center For Comprehensive Medicine P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clark Center For Comprehensive Medicine P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jacob Craze, NP
Nurse Practitioner
NPI 1558959403
30700 TELEGRAPH RD STE 15401
Bingham Farms, MI 48025
(313) 800-8230
✔ PECOS✔ Accepts Medicare13 mi
Victor Almatchy, M.D.
Internal Medicine
NPI 1609811975
37300 DEQUINDRE RD STE 120
Sterling Heights, MI 48310
(586) 275-0065
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1054401

Clark Center For Comprehensive Medicine PC · Garden City, MI
Active · expires Dec 7, 2026
CLIA Number23D1054401
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorDonald Clark
Laboratory Phone(313) 945-5450
Laboratory LocationClark Center For Comprehensive Medicine PC29521 Ford Road, Garden City, MI 48135
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Center For Comprehensive Medicine P.C.'s NPI number?

The NPI number for Clark Center For Comprehensive Medicine P.C. is 1861521031. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Clark Center For Comprehensive Medicine P.C. located?

Clark Center For Comprehensive Medicine P.C. is located at 29521 Ford Rd, Garden City, MI 48135. The listed phone number is (734) 367-1205.

What is Clark Center For Comprehensive Medicine P.C.'s specialty?

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

Is Clark Center For Comprehensive Medicine P.C. enrolled in Medicare?

Yes. Clark Center For Comprehensive Medicine P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clark Center For Comprehensive Medicine P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clark Center For Comprehensive Medicine P.C., in Internal Medicine and Nurse Practitioner. 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.

Does Clark Center For Comprehensive Medicine P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1054401) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clark Center For Comprehensive Medicine P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Clark Center For Comprehensive Medicine P.C. 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 Clark Center For Comprehensive Medicine P.C. was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.