Active NPI
Jane S. Clark
- Internal Medicine Physician
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 61382
- Practice address
- 1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662 - Phone
- (706) 277-7311
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 246083 | NY | |
| Internal Medicine Physician | 207R00000X | 61382 | GA | Primary |
Addresses
Primary practice location
1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Mailing address
1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Phone (706) 277-7311
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jychung@directaddress.net | Skin Cancer and Cosmetic Dermatology Center PC | |
| Direct Messaging Address | jychung@directaddress.net | Skin Cancer & Cosmetic Dermatology Center, PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 Memorial Dr
Suite 201
Dalton, GA 30720-8662
Phone (706) 277-7311
160 Curtis Pkwy NE
Calhoun, GA 30701-2062
Phone (706) 625-3909
Hospital & facility affiliations
- Hamilton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.32 of 100
- Quality
- 64.03
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 45 |
| Removal of skin lesions | 1019 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 356 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246083 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Cancer and Cosmetic Dermatology Center PC | Dermatology | Current | Accepting new patients |
| Bellaire Wound Care Georgia PC | Current | Accepting new patients | |
| Skin Cancer & Cosmetic Dermatology Center, PC | Dermatology | Current | Accepting new patients |
| Global Wound Care Medical Group | Current | Accepting new patients |
Locations
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
12600 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
Phone (404) 500-6911
2045 Peachtree Rd NE
Ste 410
Atlanta, GA 30309
Phone (470) 768-8600
101 Riverstone Vis
Ste 215
Blue Ridge, GA 30513
Phone (706) 946-4227
160 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 466-7076
1107 Memorial Dr
Ste 201
Dalton, GA 30720
Phone (706) 277-7311
4700 Battlefield Pkwy
Ste 300
Ringgold, GA 30736
Phone (706) 406-3900
136 Battlefield Crossing Ct
Ringgold, GA 30736
136 Battlefield Crossing Ct
#C
Ringgold, GA 30736
420 E 2nd Ave
Ste 105
Rome, GA 30161
Phone (706) 378-2235
2358 Lifestyle Way
Ste 212
Chattanooga, TN 37421
Phone (423) 521-1100
2253 Chambliss Ave NW
Ste 300
Cleveland, TN 37311
Phone (423) 472-3332
2253 Chambliss Ave NW
Ste 202
Cleveland, TN 37311
Phone (423) 472-3332
Interoperability endpoints
- jane.clark@sccdc.gadirect.net
Organizations & group practices 4
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.
-
- Dermatology Physician
- Dalton, GA
- NPI 1376605394
-
- General Practice Physician
- Alpharetta, GA
- NPI 1396697991
-
- Dermatology Physician
- Chattanooga, TN
- NPI 1144419458
-
- General Practice Physician
- Los Angeles, CA
- NPI 1235831132
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1659530004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 MEMORIAL DR",
"address_2": "SUITE 201",
"city": "DALTON",
"state": "GA",
"postal_code": "307208662",
"telephone_number": "706-277-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 MEMORIAL DR",
"address_2": "SUITE 201",
"city": "DALTON",
"state": "GA",
"postal_code": "307208662",
"telephone_number": "706-277-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JANE",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "246083",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "61382",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jychung@directaddress.net",
"affiliation": "Y",
"affiliationName": "Skin Cancer and Cosmetic Dermatology Center PC",
"address_1": "2253 Chambliss Ave NW",
"address_2": "Suite 202",
"city": "Cleveland",
"state": "TN",
"country_code": "US",
"postal_code": "373113861",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jychung@directaddress.net",
"affiliation": "Y",
"affiliationName": "Skin Cancer & Cosmetic Dermatology Center, PC",
"address_1": "1107 Memorial Drive",
"address_2": "Suite 201",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "30720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
- 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.