William Little Clark

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10892 Issued in GA

Practice address

5 Retreat Rd
Augusta, GA 30909-1837

Phone

(706) 733-4764

NPI assigned

Apr 3, 2008

Last updated

Apr 3, 2008By the provider in NPPES

Sex

Male

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17761/brand/1/csg/1/fhir/r4

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.

• Orthopaedic Associates of Augusta PA

  dba Legend Orthopedics

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1124053228
  NPD (past)

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1598938219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RETREAT RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091837",
            "telephone_number": "706-733-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RETREAT RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091837",
            "telephone_number": "706-733-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WILLIAM",
        "middle_name": "LITTLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "10892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique N Clark
• Robert Milton Clark, DO
• Serena Clark, PHARMD
• Sylvia Y Clark, CCC-SLP
• Travarius Clark, RBT
• Andrea Michelle Clarke, PHARMD
• Charles Sylvester Clarke, M.A
• Kasheita Clarke
• Royelle N Clarke, RN
• David S. Clary, D.D.S., M.S, F.A.C.P

• Orthopaedic Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.