Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

Q: 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.

Q: What is Bryan Clark's specialty?

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

Q: 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 16 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.

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 added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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

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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.

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

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

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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)

Bryan Clark Fnp-bc 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.

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 6

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

NATALIE BENNETT YONZ

Physician Assistant