Karen Harrell Clark, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

30300 Issued in NC

Practice address

1240 Environ Way
Chapel Hill, NC 27517-4426

Phone

(919) 240-7269

Fax

(919) 240-7816

NPI assigned

Nov 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 6, 2013 through May 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: karen.clark@906057211510788.direct.elationemr.com
• Direct secure messaging: karen.clark.p1@direct.chg.nextgenshare.com

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1164677415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ENVIRON WAY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174426",
            "telephone_number": "919-240-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ENVIRON WAY",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275174426",
            "telephone_number": "919-240-7269",
            "fax_number": "919-240-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KAREN",
        "middle_name": "HARRELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "30300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Clark
• Candice Pike Clark, N.P.
• Emily Claire Clark, LCSW, LCAS
• Hollins Peel Clark, MD
• Jonathan Clark
• Leslie Horn Clark, MD
• Megan Elizabeth Clark, MA, LMFT, LPC
• Meghan Ruth Clark, MD
• Patricia Ellen Clark, MD, MPH
• Sydney Clark

• Gynecology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.