ROBERT CHARLES CLARK CRNA
NPI 1992766703
Nurse Anesthetist, Certified Registered in Dothan, AL
About Robert Charles Clark Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT CHARLES CLARK CRNA (NPI 1992766703) is an individual nurse anesthetist, certified registered in Dothan, Alabama, licensed in Alabama (1044483) and active in the NPI registry since March 2006. He is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Robert Charles Clark Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
9Medicare enrollment records show Robert Clark reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dothan, AL 36305
- Reassigned Medicare billing, Alabama enrollment
- 74 clinicians in this Medicare group
Dothan, AL 36305
- Reassigned Medicare billing, Alabama enrollment
- 79 clinicians in this Medicare group
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 71 clinicians in this Medicare group
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Ozark, AL 36360
- Reassigned Medicare billing, Alabama enrollment
- 47 clinicians in this Medicare group
Louisville, AL 36048
- Reassigned Medicare billing, Alabama enrollment
- 36 clinicians in this Medicare group
Columbus, GA 31904
- Reassigned Medicare billing, Alabama and Georgia enrollments
- 8 clinicians in this Medicare group
Madison, FL 32340
- Reassigned Medicare billing, Florida enrollment
- 17 clinicians in this Medicare group
West Palm Beach, FL 33401
- Reassigned Medicare billing, Florida enrollment
- 528 clinicians in this Medicare group
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 36305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DOTHAN, AL 36305
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 Robert Clark's NPI number?
The NPI number for Robert Clark is 1992766703. It was assigned to this individual provider in the NPPES registry on March 31, 2006.
Where is Robert Clark located?
Robert Clark practices at 4370 W Main St, Dothan, AL 36305. The listed phone number is (334) 793-5000.
What is Robert Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Robert Clark enrolled in Medicare?
Yes. Robert Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Robert Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Clark reassigns Medicare benefits to 9 organizations: Dothan Anesthesiology Associates PC (Dothan, AL), Gut PC (Dothan, AL), Southern Alabama Surgery Center LLC (Dothan, AL), Houston County Healthcare Authority (Dothan, AL), Dale Medical Center (Ozark, AL) and 4 more organizations, listed in the Medicare section above. Each 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 Robert Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Robert Clark was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Robert Charles Clark, CRNA · NPI 1992766703
Nurse Anesthetist, Certified Registered physician in Dothan, Alabama. Individual provider, active in the CMS NPPES registry since March 31, 2006.
## Identity
- **NPI:** 1992766703 (Entity type: Individual)
- **Enumerated:** March 31, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1044483 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 4370 W MAIN ST, Dothan, AL 36305
- **Phone:** (334) 793-5000 · **Fax:** (334) 615-8428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Dothan Anesthesiology Associates PC (NPI 1013997857, Dothan, AL); Gut PC (NPI 1073566006, Dothan, AL); Southern Alabama Surgery Center LLC (NPI 1346349164, Dothan, AL); Houston County Healthcare Authority (NPI 1669626719, Dothan, AL); Dale Medical Center (NPI 1659533206, Ozark, AL); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 25, 2011
- **Other identifiers:** Medicaid 034384600 (FL); Other P00057714; Medicare PIN 051515739 (AL); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1992766703) · Data from the CMS NPPES public registry.