Robert Milton Clark (NPI# 1386675890, PAC ID# 8123004330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1386675890 |
| PAC ID by PECOS | 8123004330 |
| Professional Enrollment ID | I20090924000405 |
| Full Name | Robert Milton Clark |
| Organization Legal Name | CENTER FOR PRIMARY CARE, P.C. |
| Address |
105 E Hugh St North Augusta SC 29841-2925 |
| Phone Number | 7066507799284 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385633247 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 Magnolia Way, Suite 102, Augusta, GA 30909-9484 | 7069226699 | CENTER FOR PRIMARY CARE, P.C. |
| 3614 J Dewey Gray Cir, D, Augusta, GA 30909-6512 | 7068687380 | CENTER FOR PRIMARY CARE, P.C. |
| 363 N Belair Rd, Evans, GA 30809-3096 | 7066507563 | CENTER FOR PRIMARY CARE, P.C. |
| 105 E Hugh St, North Augusta, SC 29841-2925 | 7066507799284 | CENTER FOR PRIMARY CARE, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CENTER FOR PRIMARY CARE, P.C. |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Roth Tucker | Nurse Practitioner | Center for Primary Care, P.C. | 2011 Windsor Spring Rd, Augusta, GA 30906-4957 |
| Holly Mahoney | Family Medicine | Center for Primary Care, P.C. | 505 Mount Pleasant Rd, Thomson, GA 30824-8140 |
| Shireen Q Moore | Family Medicine | Center for Primary Care, P.C. | 363 N Belair Rd, Evans, GA 30809-3096 |
| Leopoldo Muniz | Family Medicine | Center for Primary Care, P.C. | 131 Rinehart Way, Aiken, SC 29803-1703 |
| Denise S Kennedy | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Richard W Livingston Jr. | Family Medicine | Center for Primary Care, P.C. | 410 Hitchcock Pkwy, Aiken, SC 29801-3398 |
| Joseph A Hooper | Family Medicine | Center for Primary Care, P.C. | 3614 J Dewey Gray Cir, D, Augusta, GA 30909-6512 |
| Robert A Price | Internal Medicine | Center for Primary Care, P.C. | 1701 Magnolia Way, Suite 101, Augusta, GA 30909-9483 |
| Tracy Barefield | Family Medicine | Center for Primary Care, P.C. | 363 N Belair Rd, Evans, GA 30809-3096 |
| Robert A Suykerbuyk | Emergency Medicine | Center for Primary Care, P.C. | 363 N Belair Rd, Evans, GA 30809-3096 |
| Street Address |
105 E HUGH ST |
| City | NORTH AUGUSTA |
| State | SC |
| Zip | 29841-2925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise S Kennedy | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Katherine Embry | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Robyn Frederick Fallaw | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Phillip S Kennedy | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Robert C Franklin | Family Medicine | Center for Primary Care, P.C. | 105 E Hugh St, North Augusta, SC 29841-2925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan James Altenburg | Nephrology | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Doris J Sturcken | Nurse Practitioner | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Syed N Babar | Nephrology | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Christine G Anderson | Nurse Practitioner | Nephrology Associates PC | 590 Atomic Rd, North Augusta, SC 29841 |
| Allen L Sloan | Interventional Pain Management | 1168 W Martintown Rd, North Augusta, SC 29841-2046 | |
| Glenn Cornelis Degraaf | Chiropractic | 244 Edgefield Rd, North Augusta, SC 29841-2407 | |
| Bradford P Huffman | Maxillofacial Surgery | Center for Oral and Maxillofacial Surgery | 101 Nut Grove Dr, North Augusta, SC 29841-2850 |
| Christopher George Mullane | Chiropractic | 1810 Knox Ave B, North Augusta, SC 29841-2903 | |
| Jason B Farmer | Chiropractic | Vitality Medical Centers of North Augusta Inc | 440 W Martintown Rd, Suite 200, North Augusta, SC 29841-3106 |
| John William Thurmond Iii | Family Medicine | 509 W Martintown Rd, North Augusta, SC 29841-3108 | |
| Find all physicians in zip 29841 | |||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH AUGUSTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert Milton Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.