M Clark Colvard Jr., MD
Individual provider Active NPI Cardiovascular Disease Physician · Ringgold, GA
NPI 1780644252 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1780644252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 028388 (GA)
- Practice address
- 4632 Battlefield Pkwy
Ringgold, GA 30736-8004 - Phone
- (706) 806-0170
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080805000064 | GA | Practitioner - Cardiovascular Disease (Cardiology) | 6103990460 | |
| I20180418001025 | TN | Practitioner - Cardiovascular Disease (Cardiology) | 6103990460 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16957 | TN | MD | Critical Care Neonatal Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 028388 | GA | Yes |
Addresses
Primary practice location
4632 Battlefield Pkwy
Ringgold, GA 30736-8004
Mailing address
1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Phone (423) 648-2395
Other practice location 1
1604 Gunbarrel Rd
Chattanooga, TN 37421-3125
Phone (423) 893-7226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000318216C | Medicaid | GA | |
| 000318216D | Medicaid | GA | |
| 000318216F | Medicaid | GA | |
| 060004408 | Other | RR MEDICARE | |
| 54121 | Other | BX TN |
Other names
- Merriman C Colvard Jr.
Other providers in Ringgold, GA
- Tiffany Cockburn
- Melinda Sue Coe
- Rachel Barbee Coker
- Audrey Silvers Cole
- Cassie Ladell Coley
- Amy Colvin
- Compassionate Care Family Practice and Walk-in
- Comprehensive Healthcare Services
- Aurora Compres
- Paula Cook
All providers in Ringgold, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.