1. Home
  2. Directory
  3. Georgia
  4. Saint Marys
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRYAN CLARK FNP-BC
NPI 1871414359
Nurse Practitioner - Family in Saint Marys, GA

Active since July 22, 2026PECOS Enrolled
2060 DAN PROCTOR DR STE 2100, SAINT MARYS, GA 31558(912) 882-6767(912) 882-6411 Get Directions Write a Review

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

Record update history: Sep 18, 2026, Jul 22, 2026 (2 updates tracked since 2026).

About Bryan Clark Fnp-bc NPPES

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

BRYAN CLARK FNP-BC (NPI 1871414359) is an individual family provider in Saint Marys, Georgia, licensed in Georgia (APRN-NP266514) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1871414359
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRYAN CLARKCredential: FNP-BC
Location Address2060 DAN PROCTOR DR STE 2100Saint Marys, GA 31558-3895
Mailing Address65 Lighthouse WayWoodbine, GA 31569-4079 · (912) 552-7023 · Fax (912) 882-6411
Phone(912) 882-6767
Fax(912) 882-6411
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 22, 2026
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1871414359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · APRN-NP266514✔ Licensed in FL · 11050461
2060 DAN PROCTOR DR STE 2100, Saint Marys, GA 31558
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Clark Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153881495
PECOS Enrollment IDI20260904003630
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.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cooperative Healthcare Services Inc
28 mi
Clinic/Center
2415 PARKWOOD DR
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 339 clinicians in this Medicare group
NPI 1417979402 (912) 466-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31558 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

NATALIE BENNETT YONZ
Physician Assistant
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 882-6767
MRS. STEPHANIE NICOLE GREEN FNP-C
Nurse Practitioner (Primary Care)
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 882-6767
CATHERINE GURLEY CLEVER FNP-C
Nurse Practitioner (Family)
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 882-6767
KAYLEE SUSANNE BROWN MD
Family Medicine
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 882-6767
MEREDITH BRAZELL PA
Physician Assistant (Medical)
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 264-1520
MRS. VIRGINIA ANNE KNIGHT FNP
Nurse Practitioner (Family)
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 882-6767
TODD EDWARD HARLOS PA-C
Physician Assistant
2060 DAN PROCTOR DR STE 2100
SAINT MARYS, GA 31558
Camden County (912) 882-6767

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 Bryan Clark's NPI number?

The NPI number for Bryan Clark is 1871414359. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Bryan Clark located?

Bryan Clark practices at 2060 Dan Proctor Dr Ste 2100, Saint Marys, GA 31558. The listed phone number is (912) 882-6767.

What is Bryan Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bryan Clark enrolled in Medicare?

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

Which organization bills Medicare for Bryan Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Clark reassigns Medicare benefits to Cooperative Healthcare Services Inc (Brunswick, GA). The 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 Bryan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bryan Clark 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 Bryan Clark was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.