DR. CHASE THOMAS CLARK DO
NPI 1881446839
Student in an Organized Health Care Education/Training Program in Marietta, GA
About Dr. Chase Thomas Clark Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHASE THOMAS CLARK DO (NPI 1881446839) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Chase Thomas Clark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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 Chase Clark's NPI number?
The NPI number for Chase Clark is 1881446839. It was assigned to this individual provider in the NPPES registry on April 3, 2024.
Where is Chase Clark located?
Chase Clark practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.
What is Chase 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 Chase Clark enrolled in Medicare?
Yes. Chase Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Chase Clark was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Chase Thomas Clark, DO · NPI 1881446839
Student in an Organized Health Care Education/Training Program provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1881446839 (Entity type: Individual)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (770) 793-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881446839) · Data from the CMS NPPES public registry.