Individual provider Active NPI

Jane S. Clark

  • Internal Medicine Physician
  • Dalton, GA
National Provider Identifier
1659530004
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61382 Issued in GA
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

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081219000460 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 5597827865 Reassigns benefits to 2 organizations
I20111020000370 TN Practitioner - Internal MedicinePractitioner - Dermatology 5597827865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Cancer and Cosmetic Dermatology Center PCGroup PAC ID 3375591209, 24 clinicians

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 Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.32 of 100Reported as group
Quality
64.03
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions1019
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246083NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer and Cosmetic Dermatology Center PC Dermatology CurrentSince Sep 10, 2011 Accepting new patients
Bellaire Wound Care Georgia PC Current Accepting new patients
Skin Cancer & Cosmetic Dermatology Center, PC Dermatology CurrentSince Aug 25, 2008 Accepting new patients
Global Wound Care Medical Group CurrentSince Sep 3, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.