Mark D Clark is a Gainesville, Georgia based nurse practitioner with 24 years of experience in . He completed his graduation in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark D Clark is RN128712 for Acute Care in Georgia. His current practice location is 102 Barrett St, Gainesville. Patients can reach him at 770-540-4274. Mark D Clark is FNP and his NPI number (Unique professional ID assigned by NPPES) is 1285631887. Mark D Clark has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mark D Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2961479324
Enrollment ID:
I20040914001333
NPI Number:
1285631887
NPI Enumeration Date:
29 Jun, 2005
NPI Last Update On:
05 Feb, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark D Clark are as mentioned below.
License Number
Specialization
State
Status
RN128712
Acute Care
Georgia
Primary
RN128712
Nurse Practitioner
Georgia
Secondary
RN128712
Adult Health
Georgia
Secondary
RN128712
Gerontology
Georgia
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mark D Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northeast Georgia Diagnostic Associates And Clinic, Llc (1951655737)
58
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark D Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1738523
Other
Georgia
WELLCARE
06423272
Other
Georgia
AMERIGROUP
615230572C
Medicaid
Georgia
615230572E
Medicaid
Georgia
615230572F
Medicaid
Georgia
615230572D
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark D Clark 102 Barrett St, Gainesville, Georgia
Zip:
30501-1356
Phone Number:
770-540-4274
Patients can reach Mark D Clark at 102 Barrett St, Gainesville, Georgia or can call to book an appointment on 770-540-4274.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.