Douglas Clark
Douglas Clark is a healthcare organization registered as Family Medicine Physician in Harriman, TN, holding Type 2 (organization) NPI 1487756755 since 2006. The authorized official on file is Douglas Clark, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487756755 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Douglas Clark |
| Other name | <Unavail> |
| Practice address | 2317 SOUTH ROANE STREET, Harriman, TN, 37748 |
| Phone | 8655900072 |
| Fax | 8655900069 |
| Enumeration date | 2006-09-05 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Douglas Clark |
|---|---|
| Title | Owner |
| Phone | 8655900072 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723702 | Medicaid | TN | — |
| DB1921 | Other | — | RAILROAD MCARE |
Copy-ready billing details
Provider: Douglas Clark NPI: 1487756755 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 2317 SOUTH ROANE STREET, Harriman, TN, 37748
Verify this record
Cross-check NPI 1487756755 against the authoritative CMS record: view Douglas Clark on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Douglas Clark located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.