MR. EDGAR VINCENT CLARK CCC-S
NPI 1962611202
Speech-Language Pathologist in Vidalia, GA

Q: What is Edgar Clark's NPI number?

The NPI number for Edgar Clark is 1962611202. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Edgar Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 22, 2007

101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474(912) 537-2044(912) 277-2098 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Edgar Vincent Clark Ccc-s NPPES

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

MR. EDGAR VINCENT CLARK CCC-S (NPI 1962611202) is an individual speech-language pathologist provider in Vidalia, Georgia, licensed in Georgia (SLP004577) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1962611202

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMR. EDGAR VINCENT CLARKCredential: CCC-S

Location Address101 HARRIS INDUSTRIAL BLVDVidalia, GA 30474-8845

Mailing AddressPo Box 383Glenwood, GA 30428-0383 · (912) 568-7687

Phone(912) 537-2044

Fax(912) 277-2098

Sole ProprietorNo

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962611202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in GA · SLP004577

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

101 HARRIS INDUSTRIAL BLVD, Vidalia, GA 30474

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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 ›

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.

DR. HUBERT MCCRARY SUBER MD

Obstetrics & Gynecology

101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474

Toombs County (912) 537-1014

ANGELIA KRONTZ ATTAWAY CNM

Advanced Practice Midwife

101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474

Toombs County (912) 537-1014

DR. JOHN V SPENCE M.D.

Emergency Medicine (Undersea and Hyperbaric Medicine)

101 HARRIS INDUSTRIAL BLVD, SUITE E
VIDALIA, GA 30474

Toombs County (770) 309-6636

MARY W BENNETT ATC, LAT

Specialist/Technologist (Athletic Trainer)

101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474

Toombs County (912) 277-2035

MRS. MARGARET FAIRLEY WOOD CCC/SLP

Speech-Language Pathologist

101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474

Toombs County (912) 277-2044

MEADOWS REGIONAL MEDICAL CENTER

Specialist/Technologist (Athletic Trainer)

101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474

Toombs County (912) 277-2035

CAROLYN CABE

Nurse Practitioner (Women's Health)

101 HARRIS INDUSTRIAL BLVD, STE C
VIDALIA, GA 30474

Toombs County (912) 537-1014

DR. KAREN JOAN MCCOLL M.D.

Obstetrics & Gynecology (Gynecology)

101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474

Toombs County (912) 537-1014

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 Edgar Clark's NPI number?

The NPI number for Edgar Clark is 1962611202. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Edgar Clark located?

Edgar Clark practices at 101 Harris Industrial Blvd, Vidalia, GA 30474. The listed phone number is (912) 537-2044.

What is Edgar Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Edgar Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Edgar 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 Edgar Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.