Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jerrold A Clark, MD

Anatomic Pathology & Clinical Pathology Physician in Marietta, GA · enumerated 2006.

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

National Provider Identifier

1700866324

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Registry record

Entity type Individual (Type 1)

Name Dr. Jerrold A Clark

Credential MD

Sex Male

Practice address 2275 Northwest Parkway Se, Suite 140, Marietta, GA, 30067

Phone (770) 951-1793

Fax (770) 612-3380

Enumeration date Jan 19, 2006

Last updated in NPPES May 29, 2015

Taxonomy & licenses

207ZB0001X Blood Banking & Transfusion Medicine Physician Allopathic & Osteopathic Physicians · License 026841 (GA) Secondary

207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians · License 026841 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
52235375 009	Other	GA	BCBS MARIETTA
345972	Other	GA	WELLCARE
202I220225	Medicaid	GA	-
52235375 006	Other	GA	BCBS MONROE
581267100	Other	GA	TRICARE
000302112A	Medicaid	GA	-
52235375 008	Other	GA	BCBS BLECKLEY
52235375 005	Other	GA	BCBS COLISEUM
52235375 007	Other	GA	BCBS MACON NORTHSIDE

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 Jerrold Clark?

The National Provider Identifier (NPI) for Jerrold Clark is 1700866324, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jerrold Clark practice?

The practice location on file with NPPES is in Marietta, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Sara Nash Anatomic Pathology & Clinical Pathology Physician · Marietta, GA NPI 1164560876 Lynn Cooper Anatomic Pathology & Clinical Pathology Physician · Marietta, GA NPI 1366658437

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-29.