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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Robert B Clark Jr MD LLC

Specialist in Vidalia, GA · enumerated 2006 · authorized official Priscilla Edge, Credentialing.

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

National Provider Identifier

1326079039

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Registry record

Entity type Organization (Type 2)
Legal business name Robert B Clark Jr MD LLC
Practice address 1811 Manning Drive, Vidalia, GA, 30474
Phone (912) 537-6634
Fax (912) 537-1909
Enumeration date Jul 5, 2006
Last updated in NPPES Mar 27, 2013

Taxonomy & classification

174400000X Specialist Other Service Providers · License 020521 (GA) Primary

Authorized official

Name Priscilla Edge
Title Credentialing
Phone (912) 537-8691

Other identifiers

Identifier Type State Issuer
449866340 Other GA MEDICAID REFERRAL
000177713D Medicaid GA -
1144289349 Other GU PERSONAL NPI NUMBER 1144289349
GRP7739 Other GA MEDICARE GROUP NUMBER

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

Who is the authorized official for Robert B Clark Jr MD LLC?
NPPES lists Priscilla Edge (Credentialing) as the authorized official for this organization.
What is the NPI number for Robert B Clark Jr MD LLC?
The NPI for Robert B Clark Jr MD LLC is 1326079039, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-27.