Individual provider Active NPI

Sandra Hewitt Clark, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Raleigh, NC
National Provider Identifier
1558310201
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0429705 Issued in KS
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone
(919) 350-8260
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 22905 OK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X V8472 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0429705 KS Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 24053 NV

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Mailing address

3600 E Harry St
Wichita, KS 67218-3713
Phone (316) 268-5000

Other practice location 1

645 N Arlington Ave Ste 340
Reno, NV 89503-4449
Phone (775) 746-3400

Other practice location 2

7455 W Washington Ave Ste 301
Las Vegas, NV 89128-4340
Phone (702) 732-3441

Other practice location 3

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 742-1478

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sclark272044@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, AK, NV4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20141110000431 TX Practitioner - Pathology 2062423155 Reassigns benefits to 1 organization
I20200118000043 NC Practitioner - Pathology 2062423155 Reassigns benefits to 2 organizations
I20221221003067 AK Practitioner - Pathology 2062423155 Reassigns benefits to 1 organization
I20250218003623 NV Practitioner - Pathology 2062423155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Consultants Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2023 Accepting new patients
Ecu Physicians Diagnostic Pathology Services Anatomic Pathology & Clinical Pathology CurrentSince Mar 2, 2020 Accepting new patients
Raleigh Pathology Laboratory Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Nov 4, 2019 Accepting new patients
Laboratory Medicine Consultants LTD Current Accepting new patients
Wake Medical Laboratory Consultants Inc Anatomic Pathology & Clinical Pathology CurrentSince Nov 4, 2019 Accepting new patients
Laboratory Medicine Consultants LTD Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2025 Accepting new patients
NTX Pathology Program, PLLC Anatomic Pathology & Clinical Pathology CurrentSince May 26, 2025 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

File 749203
Los Angeles, CA 90074

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

7455 W Washington Ave
Las Vegas, NV 89128
Phone (702) 425-0978

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

5700 Southwyck Blvd
Toledo, OH 43614

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

7777 Forest Ln
Ste C400
Dallas, TX 75230
Phone (972) 566-3900

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Interoperability endpoints

  • Direct secure messaging: sclark272044@directhisp.wakemed.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1558310201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183713",
            "telephone_number": "316-268-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 N Arlington Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034449",
            "country_code": "US",
            "telephone_number": "775-746-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7455 W Washington Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891284340",
            "country_code": "US",
            "telephone_number": "702-732-3441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361902",
            "country_code": "US",
            "telephone_number": "918-742-1478",
            "fax_number": "918-747-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SANDRA",
        "middle_name": "HEWITT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "22905",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "V8472",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "0429705",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "24053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sclark272044@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3000 New Bern Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.