Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Phillip Douglas Clark Sr.

Home Health Aide in Longs, SC · enumerated 2020 · practices at Bridging the Gap Wellness Center LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053912451

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Registry record

Entity type Individual (Type 1)

Name Mr. Phillip Douglas Clark Sr.

Sex Male

Practice address 2126 Highway 9 E Unit 5b, Longs, SC, 29568

Phone (843) 353-8664

Fax (843) 485-0047

Enumeration date Nov 3, 2020

Last updated in NPPES Nov 3, 2020

Taxonomy & licenses

374U00000X Home Health Aide Nursing Service Related Providers · License 1264 Secondary

374U00000X Home Health Aide Nursing Service Related Providers · License 1264 (SC) Primary

Other identifiers

Identifier	Type	State	Issuer
104613648	Other	SC	DRIVER LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1053912451 active?

Yes, as of the latest NPPES snapshot, NPI 1053912451 is active (record last updated 2020-11-03).

How do I verify Phillip Clark's NPI record?

Cross-check NPI 1053912451 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Bridging the Gap Wellness Center LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Longs, SC NPI 1194430660

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-03.