Christopher Wayne Clark, AGNP
NPI 1174455463ActiveIndividual· Nurse Practitioner· West Columbia, SC
Nurse Practitioner (AGNP) in West Columbia, South Carolina, licensed in SC, with an NPI issued in June 2026. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1174455463 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | No |
| NPI issued | Jun 1, 2026 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 32311 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SC) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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