NPIMap

Individual provider Active NPI

Clark W Craig, MD

  • Family Medicine Physician
  • Marble Falls, TX
National Provider Identifier
1356323935
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7937 Issued in TX
Practice address
706 Avenue G
Marble Falls, TX 78654-5866
Phone
(830) 693-8234
Fax
(830) 693-9090
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J7937 TX Primary

Addresses

Primary practice location

706 Avenue G
Marble Falls, TX 78654-5866

Mailing address

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Other identifiers 5

IdentifierTypeStateIssuer
110940101OtherTXFIRSTCARE
136901903MedicaidTX
99367OtherTXSCOTT WHITE
136901908MedicaidTX
83015KOtherTXBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccraig11167@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000397 TX Practitioner - Family Practice 5193896637

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White Hospital - Marble FallsGroup PAC ID 6901117175, 44 clinicians

Practice addresses (Care Compare)

706 Ave G
Marble Falls, TX 78654-5866
Phone (830) 201-8900

810 W Hwy 71
Marble Falls Professional Services Group
Marble Falls, TX 78654-8602
Phone (830) 201-8000

Hospital & facility affiliations

  • Accentcare Home Health of Marble Falls Home health agency, Marble Falls, TX, CCN 679520
  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Family Medicine CurrentSince Aug 27, 2018 Accepting new patients
Scott & White Hospital - Marble Falls CurrentSince Oct 30, 2019 Accepting new patients
Scott & White Hospital - Marble Falls Family Medicine CurrentSince Oct 30, 2019 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Aug 27, 2018 Accepting new patients

Locations

101 E Jackson St
Burnet, TX 78611
Phone (512) 756-7510

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

102 E Young St
Llano, TX 78643
Phone (325) 247-3138

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

706 Avenue G
Marble Falls, TX 78654
Phone (830) 201-8900

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

2005 W Wallace St
San Saba, TX 76877
Phone (325) 372-5163

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: ccraig11167@direct.sw.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1356323935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W OLLIE ST",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786432628",
            "telephone_number": "325-247-5040",
            "fax_number": "325-248-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 AVENUE G",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545866",
            "telephone_number": "830-693-8234",
            "fax_number": "830-693-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CLARK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "110940101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136901903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT WHITE",
            "identifier": "99367",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136901908",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83015K",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccraig11167@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "706 Avenue G",
            "city": "Marble Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786545866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marble Falls, TX

Sources for this page

Verify at the official NPI Registry.