Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles Joseph Clancy, PA-C

Physician Assistant in Fort Walton Beach, FL · enumerated 2006.

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

National Provider Identifier

1669410924

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Registry record

Entity type Individual (Type 1)

Name Charles Joseph Clancy

Credential PA-C

Sex Male

Practice address 1005 Mar Walt Dr, Immediate Care Department, Fort Walton Beach, FL, 32547

Phone (850) 863-8219

Fax (850) 863-8249

Enumeration date Jun 2, 2006

Last updated in NPPES Nov 15, 2010

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9103700 (FL) Primary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License PA9103700 (FL) Secondary

Other identifiers

Identifier	Type	State	Issuer
292457900	Medicaid	FL	-

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

What is the NPI number for Charles Clancy?

The National Provider Identifier (NPI) for Charles Clancy is 1669410924, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charles Clancy practice?

The practice location on file with NPPES is in Fort Walton Beach, FL. 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 2010-11-15.