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Justin Clark, BA HISTORY

Developmental Therapist in Southern Pines, NC · enumerated 2013.

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

National Provider Identifier

1114360807

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Registry record

Entity type Individual (Type 1)
Name Justin Clark
Credential BA HISTORY
Sex Male
Practice address 1280 Central Dr, Southern Pines, NC, 28387
Phone (910) 692-3323
Fax (910) 692-1114
Enumeration date Apr 11, 2013
Last updated in NPPES Apr 11, 2013

Taxonomy & licenses

222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Other identifiers

Identifier Type State Issuer
8300012 Medicaid NC -

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.

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Frequently asked questions

Where does Justin Clark practice?
The practice location on file with NPPES is in Southern Pines, NC. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Justin Clark?
The National Provider Identifier (NPI) for Justin Clark is 1114360807, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-11.