Clark Pediatric Medicine LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CLARK PEDIATRIC MEDICINE LLC

Practice address

1530 N Fant St Ste C1
Anderson, SC 29621-4700

Phone

(864) 559-8464

NPI assigned

May 11, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Sara Clark, MDNPI 1972763241

Title

Owner

Phone

(864) 387-0016

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Morgan Clark, M.D.

  • Pediatrics Physician
  • Greenville, SC
  • NPI 1972763241
  NPD Authorized official

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1417885583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 KILSPRINGS RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214224",
            "telephone_number": "864-387-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N FANT ST STE C1",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214700",
            "telephone_number": "864-559-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK PEDIATRIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-387-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy R Cianciolo, MD
• Ciani Medical Solutions, LLC
• Circle of Hearts Care Services LLC
• Allison Leigh Clamp, BCBA
• Lorraine Clancy, DO
• Teresa J Clark Strickland, SLP
• Andrew D Clark, M.D., PH.D.
• Charles Edward Clark
• Deandra L Clark, MD
• Jennifer Turner Clark, FNP

• Pediatrics Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.