Edgar Clark, CCC-S

ActiveIndividual ProviderSpeech-Language Pathologist
NPI issued: May 22, 2007

Quick Facts

NPI Number
1962611202
TypeIndividual
StatusActive
SpecialtySpeech-Language Pathologist
Taxonomy235Z00000X — Speech-Language Pathologist
Phone
(912) 537-2044
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1962611202)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 22, 2007)
Data source: CMS NPPES

Provider Overview

EDGAR CLARK, CCC-S is a Speech-Language Pathologist provider based in Vidalia, GA who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962611202
Provider TypeIndividual Provider
GenderMale
CredentialCCC-S
StatusActive
Enumeration DateMay 22, 2007

Practice Location

CityVidalia
StateGA
ZIP Code30474-8845
Phone(912) 537-2044

Specialties & Licenses

★ Primary
SpecialtySpeech-Language Pathologist
Taxonomy Code235Z00000X
License StateGA

Mailing Address

CityVidalia
StateGA
ZIP Code30474-8845
Phone(912) 537-2044
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1962611202 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1962611202for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962611202 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Speech-Language Pathologist

Speech-Language Pathologists assess, diagnose, treat, and help prevent communication and swallowing disorders in children and adults, assisting with speech, language, voice, and fluency.

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208,819
Speech-Language Pathologist Providers in the US

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People Also Ask

What is Edgar Clark's NPI number?
Edgar Clark's NPI number is 1962611202, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Edgar Clark's NPI currently active?
Yes, Edgar Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Edgar Clark specialize in?
Edgar Clark specializes in Speech-Language Pathologist. The healthcare taxonomy code associated with this specialty is 235Z00000X.
Where does Edgar Clark practice?
Edgar Clark practices in Vidalia, GA 30474-8845.
When was Edgar Clark's NPI issued?
Edgar Clark's NPI was issued on May 22, 2007.
What is Edgar Clark's provider type?
Edgar Clark is registered as an Individual Provider under CMS NPI Type 1.