Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Richard Gary Clark, MD

Internal Medicine Physician in Jamestown, TN · enumerated 2005.

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

National Provider Identifier

1962406793

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Richard Gary Clark

Credential MD

Sex Male

Practice address 100 S Duncan St, Jamestown, TN, 38556

Phone (931) 879-5864

Fax (931) 879-3903

Enumeration date Jun 9, 2005

Last updated in NPPES Mar 25, 2024

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 11080 (TN) Secondary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 11080 (TN) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 11080 (TN) 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
4053283	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.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1962406793 active?

Yes, as of the latest NPPES snapshot, NPI 1962406793 is active (record last updated 2024-03-25).

How do I verify Richard Clark's NPI record?

Cross-check NPI 1962406793 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-25.