Kevin R Clark, DO
Individual provider Active NPI General Practice Physician · Hickory, NC
NPI 1053373399 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1053373399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 200300020 (NC)
- Practice address
- 420 N Center St
Hickory, NC 28601-5046 - Phone
- (843) 237-3378
- Fax
- (843) 237-5073
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 22
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Eldercare PA
Curana Health of North Carolina PLLC
Geriatric Consultants PLLC
Practice addresses (Care Compare)
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
581 NC Hwy 16 S
Taylorsville, NC 28681-9103
Phone (860) 882-7525
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Liberty Home Care II, LLC
- Amorem
- Hospice & Palliative Care Charlotte Region
- Via Health Partners - Cleveland
- Carolina Caring
- Caldwell Memorial Hospital
- Watauga Medical Center
- Atrium Health Cleveland
- Atrium Health Lincoln
- White Oak Manor-Shelby
- The Foley Center at Chestnut Ridge
- Lenoir Health and Rehabilitation Center
- Hibriten Mountain Nursing and Rehabilitation
- The Greens at Viewmont
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Lenoir Health and Rehabilitation Center |
Skilled nursing facility | Adp of the SNF | Dec 12, 2025 |
| White Oak Manor - Shelby |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2024 Jan 29, 2026 |
| Hibriten Mountain Nursing and Rehabilitation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2025 May 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050131000236 | NC | Practitioner - General Practice |
5799735445 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300020 | NC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Eldercare PA | General Practice | Current |
Accepting new patients |
| Curana Health of North Carolina PLLC | Current |
Accepting new patients | |
| Careconnectmd North Carolina P.C. | General Practice | Current |
Accepting new patients |
| Universal Health Care / Lenoir, Inc | Past | Accepting new patients | |
| Lake Norman Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Southern Chester County Emergency Room Associates PC | Emergency Medicine | Past | Accepting new patients |
| Frye Emergency Medical Associates LLC | Emergency Medicine | Past | Accepting new patients |
| Lincolnton Rehabilitation Center, LLC | Past | Accepting new patients | |
| Liberty Healthcare Group, LLC | Past | Accepting new patients | |
| Greens at Lincolnton LLC | Past | Accepting new patients | |
| Greens at Viewmont LLC | Past | Accepting new patients | |
| Accordius Health at Wilkesboro LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
322 Nuway Cir
Lenoir, NC 28645
Phone (828) 754-8500
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 200300020 | NC | Yes |
| Emergency Medicine Physician | 207P00000X | 200300020 | NC |
Addresses
Primary practice location
420 N Center St
Hickory, NC 28601-5046
Mailing address
PO Box 60359
Charlotte, NC 28260-0359
Phone (843) 237-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891293C | Medicaid | NC | |
| 1293C | Other | NC | BCBS |
| P00251742 | Other | NC | RAILROAD MEDICARE |
Other providers in Hickory, NC
- Danielle Marie Cisney
- Ashley Clack
- Amber-Leigh Clamser
- Claremont Optometric Eye Care Center, PLLC
- Gary D Clark
- Renae Eckard Clark
- Tyler Clark
- Emma Claire Clarke
- Clay Wilson & Associates
- Clay Wilson & Associates
All providers in Hickory, NC · General Practice Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.