NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Vivian M Clark, M.D.

Internal Medicine Physician in Elizabethton, TN · enumerated 2006.

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

National Provider Identifier

1205889508

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Registry record

Entity type Individual (Type 1)
Name Vivian M Clark
Credential M.D.
Sex Female
Practice address Elizabethton, TN, 37643
Fax (423) 542-3265
Enumeration date May 18, 2006
Last updated in NPPES Mar 17, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD39360 (TN) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 39360 (TN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

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

How do I verify Vivian Clark's NPI record?
Cross-check NPI 1205889508 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1205889508 active?
Yes, as of the latest NPPES snapshot, NPI 1205889508 is active (record last updated 2018-03-17).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.