DR. DAVID M CLARK


Address: 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651
Phone: 7067243473

DR. DAVID M CLARK (NPI# 1225010754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225010754
Entity Type Individual
Full Name DR. DAVID M CLARK
Credential MD
Practice Address 818 Saint Sebastian Way
Suite 311
Augusta
GA 30901-2651
Mailing Address Po Box 925
Augusta
GA 30903-0925
Practice Telephone 7067243473
Practice Fax Number 7067243493
Mailing Telephone 7067248611
Mailing Fax Number 7067246202
Enumeration Date 2005-11-18
Last Update Date 2020-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
043579 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000749801A 05
SC G43579 05
GA BCBS 597816 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1348 Walton Way Ste 5100, Augusta, GA 309015108 7067248611 7067246202

Other Providers DAVID CLARK

NPI Name Taxonomy Address Enumeration
1225388531 David Clark Pharmacist 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 2012-09-13
1568778793 David F Clark Social Worker 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 2010-08-25
1407093065 David E. Clark Dietitian, Registered 4132 Sierra Park Ter, Dayton, OH 45440-3324 2009-01-19
1962668202 David Allen Clark Dentist 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 2008-08-06
1548427693 David Kyle Clark Dentist 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 2008-05-16
1790957603 David C. Clark Pharmacist 1215 Route 31, Macedon, NY 14502-9763 2008-03-31
1275722365 David Allan Clark Counselor 50196 872nd Rd, Page, NE 68766-5539 2007-10-15
1649488214 David D Clark Chiropractor 2573 N Reading Rd, Denver, PA 17517-9333 2007-05-18
1306059480 David Roger Clark Ophthalmology 2812 Millbrook Ct, Arlington, TX 76012-2116 2007-05-07
1619049327 David B Clark Chiropractor 106 Se 12th St, Oak Grove, MO 64075-9538 2006-11-15

Office Location

Street Address 818 SAINT SEBASTIAN WAY
SUITE 311
City AUGUSTA
State GA
Zip Code 30901-2651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083612352 Randy Wilson Cooper Surgery 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 2005-07-12
1144697194 Debora Sumner Mulling Nurse Practitioner 818 Saint Sebastian Way, Suite 308, Augusta, GA 30901-2651 2015-08-25
1427483155 Erin Timmerman Cooper Nurse Practitioner 818 Saint Sebastian Way, Suite 307, Augusta, GA 30901 2013-09-12
1588902613 Matthew K Howard, Md, LLC Internal Medicine 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 2013-01-24
1760735401 Toni Lynn Davis Physician Assistant 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 2012-10-18
1104051754 University Vascular Specialist, Inc. Surgery 818 Saint Sebastian Way, Suite 408, Augusta, GA 30901-2651 2009-05-27
1750515672 Neighborhood Improvement Project Inc. Legal Medicine 818 Saint Sebastian Way, Suite 404a, Augusta, GA 30901-2651 2009-05-06
1407011802 Santosh C Varkey Internal Medicine 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901-2651 2008-07-24
1164685343 University Sleep Associates Specialist 818 Saint Sebastian Way, Suite 101, Augusta, GA 30901-2651 2008-07-08
1235301771 Brandi Nicole Pettis Audiologist 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901-2651 2008-03-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477019925 Courtney Erin Fairchild Physician Assistant 1101 15th Street, Pa-224, Augusta, GA 30901 2019-02-20
1699263921 Walgreen Co Durable Medical Equipment & Medical Supplies 1022 Walton Way Spc C, Augusta, GA 30901 2018-04-23
1235684192 Heather Raborn Allergy & Immunology 1350 Walton Way Ste 5100, Augusta, GA 30901 2016-08-22
1457690745 Rehab Without Walls, Inc. In Home Supportive Care 820 St Sebastin Way Se, Augusta, GA 30901 2013-02-06
1861788051 Christina Weidner Belcher Physical Therapist 1246 Pine St, Augusta, GA 30901 2011-06-25
1750695979 C H Martin Company Durable Medical Equipment & Medical Supplies 1456 Walton Way Suite B, Augusta, GA 30901 2010-07-29
1366773905 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4027 Wheeler Rd, Augusta, GA 30901 2010-01-21
1851622484 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1715 Forest Drive, Augusta, GA 30901 2010-01-21
1760615280 Absolute Family PCh Point of Service 2035 Old Savannah Rd., Augusta, GA 30901 2009-09-01
1073740643 Ryan J Altenburg Internal Medicine 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 2009-06-22
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174634760 Robert A Sorrentino Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194252510 Baptist Cardiology Inc Internal Medicine 2060 Dan Proctor Dr Ste 3300, Saint Marys, GA 31558-3894 2017-05-16
1639519929 Bernard Sayed Harbieh Internal Medicine 2112 Lenox Park Cir Ne, Atlanta, GA 30319-5355 2013-07-01
1790929859 Edward Kojo-eyiah Koomson Internal Medicine 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 2009-04-20
1407099575 Kavita Perumal Krishnasamy Internal Medicine 1267 Highway 54 W Ste 4100, Fayetteville, GA 30214-2112 2009-04-19
1306923495 Macon Electrophysiology Associates Internal Medicine 639 Hemlock Str, Ste 100, Macon, GA 31201 2006-11-01
1902980527 Joseph W Poku Internal Medicine 639 Hemlock St, Suite 100, Macon, GA 31201-6886 2006-10-24
1780779363 Central Georgia Heart Center, PC Internal Medicine 1062 Forsyth St., Suite 1b, Macon, GA 31201 2006-10-03
1609820075 Joon Ahn Internal Medicine 200 S Enota Dr Ne Ste 480, Gainesville, GA 30501-3473 2006-05-20
1821097296 Stephen Peyton Prater Internal Medicine 1404 River Pl Ste 501, Braselton, GA 30517-5600 2005-07-19
1447868278 Peachtree Cardiology Internal Medicine 190 Greencastle Rd, Tyrone, GA 30290-2936 2020-07-17
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Competitor

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City AUGUSTA
Zip Code 30901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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