CLARK R. GWALTNEY DNP-PACNP, RNFA, CPN
NPI 1922771195
Nurse Practitioner - Pediatrics in Memphis, TN

Q: What is Clark Gwaltney's NPI number?

The NPI number for Clark Gwaltney is 1922771195. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Q: What is Clark Gwaltney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Clark Gwaltney was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 26, 2021PECOS Enrolled

262 DANNY THOMAS PL, MEMPHIS, TN 38105(901) 595-3300 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Apr 10, 2024, Apr 26, 2022 and 2 more (5 updates tracked since 2021).

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About Clark R. Gwaltney Dnp-pacnp, Rnfa, Cpn NPPES

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

CLARK R. GWALTNEY DNP-PACNP, RNFA, CPN (NPI 1922771195) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (29917) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922771195

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameCLARK R. GWALTNEYCredential: DNP-PACNP, RNFA, CPN

Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678

Mailing Address262 Danny Thomas PlMemphis, TN 38105-3678 · (901) 595-6339

Phone(901) 595-3300

Sole ProprietorYes

Enumeration DateJuly 26, 2021

Last NPPES UpdateDecember 10, 20255 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1922771195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TN · 29917

262 DANNY THOMAS PL, Memphis, TN 38105

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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)

Clark R. Gwaltney Dnp-pacnp, Rnfa, Cpn 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 38105 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

MISS JENNIFER ELAINE ROEMER CPNP-AC

Nurse Practitioner (Pediatrics)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

MR. ALBERTO S. PAPPO M.D.

Pediatrics (Pediatric Hematology-Oncology)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-6765

MS. HEATHER MARIE CONKLIN PHD

Psychologist (Clinical)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3006

ALYSSA COTTON

Nurse Practitioner (Family)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

ARMITA BAHRAMI MD

Pathology (Anatomic Pathology & Clinical Pathology)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

DR. SEAN PHIPPS PH.D.

Psychologist (Clinical Child & Adolescent)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3006

WENDY BOURLAND D.O.

Pediatrics (Pediatric Hematology-Oncology)

262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105

Shelby County (901) 595-3300

JAMES MICHAEL BURGESS DNP, MBA, RN

Clinical Nurse Specialist (Oncology, Pediatrics)

262 DANNY THOMAS PL
MEMPHIS, TN 38105

Shelby County (901) 595-3300

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 Gwaltney's NPI number?

The NPI number for Clark Gwaltney is 1922771195. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Clark Gwaltney located?

Clark Gwaltney practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (901) 595-3300.

What is Clark Gwaltney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Clark Gwaltney enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Clark Gwaltney was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.