Clark Integrated Medical Clinics LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLARK INTEGRATED MEDICAL CLINICS LLC

Doing business as

Clark Integrated Medical Clinics

Practice address

401 E Verot School Rd
Lafayette, LA 70508-3315

Phone

(337) 232-3353

Fax

(337) 232-9304

NPI assigned

Feb 23, 2018

Last updated

Jul 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacob Scott Clark, DCNPI 1003864620

Title

Owner

Phone

(337) 232-3353

Specialties & licenses 4

Addresses

Other names 1

• Clark Integrated Medical Clinics Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Scott Clark, D.C.

  • Chiropractor
  • Lafayette, LA
  • NPI 1003864620
  Medicare reassignment Care Compare group NPD Authorized official
• Brad Alan Boudreaux, MD

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1811076995

  General Practice

  Medicare reassignment Care Compare group NPD
• Kayla Conway Brown, APRN

  • Nurse Practitioner
  • Natchitoches, LA
  • NPI 1285314559
  Medicare reassignment Care Compare group NPD
• Jake M Gary, DC

  • Chiropractor
  • New Iberia, LA
  • NPI 1033400585
  Medicare reassignment Care Compare group NPD
• Ryan Knoll, D.C.

  • Chiropractor
  • Alexandria, LA
  • NPI 1669929188
  Medicare reassignment Care Compare group NPD
• Rachel Whitstine Lacroix

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1336793207
  Medicare reassignment Care Compare group NPD
• Matt Smith

  • Chiropractor
  • Lafayette, LA
  • NPI 1588074272
  Medicare reassignment Care Compare group NPD
• Amy Weatherford, NP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1184240608
  Medicare reassignment Care Compare group NPD
• Joshua Couvillon, D.C.

  • Chiropractor
  • Houston, TX
  • NPI 1235673864

  LA

  Medicare reassignment Care Compare group NPD
• Kris Frankenberg, DC

  • Chiropractor
  • Alpharetta, GA
  • NPI 1194800730

  LA

  Medicare reassignment Care Compare group NPD
• Amanda Decoux Ho, PA

  • Physician Assistant
  • Lafayette, LA
  • NPI 1396226155
  Medicare reassignment Care Compare group
• Jency Broussard Nugier, PA-C

  • Physician Assistant
  • Lafayette, LA
  • NPI 1376274340
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1124529284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E VEROT SCHOOL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083315",
            "telephone_number": "337-232-3353",
            "fax_number": "337-232-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VEROT SCHOOL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083315",
            "telephone_number": "337-232-3353",
            "fax_number": "337-232-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705604045",
            "country_code": "US",
            "telephone_number": "337-367-7463",
            "fax_number": "337-232-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Expressway Dr Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713606666",
            "country_code": "US",
            "telephone_number": "318-793-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARK INTEGRATED MEDICAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-232-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Integrated Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clark Integrated Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neal Citizen
• Meagan Citron, MHP
• City Billing LLC
• Cityblock Medical Practice la, LLC
• Clark Chiropractic, L.L.C.
• Christina Marie Clark Mills, PHYSICAL THERAPIST
• Aja Clark
• Cassie Clark
• Jacob Scott Clark, D.C.
• Robert D Clark, CRNA

• General Practice Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.