Marlon Alando Clarke, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

LL33675 Issued in SC

Practice address

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896

Phone

(803) 434-6771

NPI assigned

Jul 19, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Family Practice

Education

Medical University of South Carolina College of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Veritas Health Group, LLCGroup PAC ID 9133452766, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice Services of SC, LLC Hospice, North Augusta, SC, CCN 421643
• Wildewood Downs Nursing home, Columbia, SC, CCN 425385
• Jolley Acres Healthcare Center Nursing home, Orangeburg, SC, CCN 425055
• Midlands Health & Rehabilitation Center Nursing home, Columbia, SC, CCN 425287

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/EHJGBD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• White Oak Manor Inc

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1659406668

  Contracted Managing Employee

  CMS ownership

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.

• Kinora Medical Group LLC

  • Family Medicine Physician
  • West Columbia, SC
  • NPI 1285597260
  Medicare reassignment NPD Authorized official
• Veritas Health Group. LLC

  • General Practice Physician
  • Lexington, SC
  • NPI 1134692676

  Family Medicine

  Medicare reassignment Care Compare group NPD
• CH Specialty Services SC LLC

  • Family Nurse Practitioner
  • North Charleston, SC
  • NPI 1275915522
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD
• Medcare Express - North Charleston LLC

  • Urgent Care Clinic/Center
  • Charleston, SC
  • NPI 1457579617
  Medicare reassignment NPD
• South Carolina Group Services, LLC

  • Hospitalist Physician
  • Mount Pleasant, SC
  • NPI 1609212232
  Medicare reassignment NPD
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  Family Medicine, SC

  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  SC

  Medicare reassignment NPD
• Medcare Urgent Care Center - Anderson LLC

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1689004095
  NPD

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

• Hospice Services of SC, LLC

  • Community Based Hospice Care Agency
  • North Augusta, SC
  • NPI 1417557950
  Care Compare affiliation
• Palmetto Jolley Acres Operating LLC

  • Skilled Nursing Facility
  • Orangeburg, SC
  • NPI 1093897639

  Nursing home

  Care Compare affiliation
• Thi of South Carolina at Columbia, LLC

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1952498149

  Nursing home

  Care Compare affiliation
• Wildewood Retirement LLC

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1619532801

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1629366166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 320",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036896",
            "telephone_number": "803-434-6771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062617",
            "country_code": "US",
            "telephone_number": "843-777-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Palmetto Health Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121760",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "MARLON",
        "middle_name": "ALANDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL33675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336755",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milana Francesca Clark
• Otis Winston Clark, DPT
• Sienna Marie Elizabeth Clark, DPT
• Tresvant Llewellyn Clark
• April Tamara Singleton Clarke, MD
• Francis Ancrum Clarkson, M.D
• Lola B Clarkson, MD
• Zack C Clarkson, OD
• Anna Beth Claros
• Matthew Todd Clary, M.D.

• Family Medicine Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.