Craig Clark, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

502 Issued in SC

Practice address

Furman University Sports Med
3300 Poinsett Highway
Greenville, SC 29613-0001

Phone

(864) 294-2000

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1821227547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FURMAN UNIVERSITY SPORTS MED",
            "address_2": "3300 POINSETT HIGHWAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296130001",
            "telephone_number": "864-294-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FURMAN UNIVERSITY SPORTS MED",
            "address_2": "3300 POINSETT HIGHWAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296130001",
            "telephone_number": "864-294-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CRAIG",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity, Inc.
• Amanda Marie Clark, PT
• Amy Joy Clark, FNP-C
• Carmen Beth Clark, SLP
• Caroline Clark
• Doris Clark, M.ED, ED.S, NCC, LPC
• Felicia Moniqw Clark
• Frank Alexander Clark, MD
• Jennifer Morgan Clark, DNP, PMHNP
• John Clark

• Athletic Trainer in Greenville, SC
• Providers in Greenville, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.