Robert Dale Clark, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0098-01210 Issued in NC

Practice address

137 Notalee St
Newland, NC 28657

Phone

(828) 528-3009

NPI assigned

Jul 19, 2005

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Clark Family Medicine PA

  • Family Medicine Physician
  • Newland, NC
  • NPI 1306845573
  Authorized official Same address or phone
• Avery Wellness PLLC

  dba Avery Wellness

  • Family Nurse Practitioner
  • Newland, NC
  • NPI 1831928803
  NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1376542597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "CROSSNORE",
            "state": "NC",
            "postal_code": "286160058",
            "telephone_number": "828-528-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 NOTALEE ST",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "28657",
            "telephone_number": "828-528-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0098-01210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ansley Campbell
• Danielle Ryan Capparelli
• Carolina Integrative Psychological Services, PLLC
• Ashley Nicole Chapman, PHARMD
• Clark Family Medicine PA
• Shayna Vance Cole, PHARMD
• Compassionate Hearts Home Care Agency,Inc
• Betty Richelle Conley, LCSWA
• Ian Y.O. Cornwell, LCSW, LCAS
• County of Avery (Avery County EMS)

• Family Medicine Physician in Newland, NC
• Providers in Newland, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.