Clark Medical Group, LLC
NPI 1477927192ActiveOrganization· Family Medicine· Statesboro, GA
Family Medicine in Statesboro, Georgia, registered in NPPES in November 2015. The authorized official on file is Aaron Clark, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477927192 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2015 |
| Last updated in NPPES | Jul 20, 2020 |
| Certified by provider | Jul 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 66012 | GA |
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 Part B Supplier - Clinic/Group Practice (GA) |
|---|
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