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Douglas Marley Clark, PAC

Medical Physician Assistant in Harriman, TN · enumerated 2006 · practices at Kidzcare Pediatrics, Pllc.

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

National Provider Identifier

1487682498

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Registry record

Entity type Individual (Type 1)
Name Douglas Marley Clark
Credential PAC
Sex Male
Practice address 2317 S Roane St, Community Care Walk in Clinic, Harriman, TN, 37748
Phone (865) 590-0072
Fax (865) 590-0069
Enumeration date Jun 29, 2006
Last updated in NPPES Feb 15, 2012

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA000000019 (TN) Primary

Other identifiers

Identifier Type State Issuer
3723702 Medicaid TN -

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

What is the NPI number for Douglas Clark?
The National Provider Identifier (NPI) for Douglas Clark is 1487682498, a Type 1 (individual) record in the CMS NPPES registry.
Where does Douglas Clark practice?
The practice location on file with NPPES is in Harriman, TN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-15.