JANE S. CLARK – Dermatology Physician, NPI 1659530004
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,409 INTERNAL MEDICINE in GA
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Provider Addresses for JANE S. CLARK
1107, Memorial Drive, Dalton, Whitfield County, Georgia, 30720, United States
SUITE 201
DALTON, GA 307208662
Phone: (706) 277-7311
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 134 Open Payments records for all available years, with a total value of $2,904.
Total Amount is formed as General ($2,904) + Research ($0) + Ownership ($0) = $2,904.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($420).
Total Amount
$2,904
General + Research + Ownership
Payments
134
Total payment records
General Amount
$2,904
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081219000460 | I | Internal Medicine | GA | TBD |
| I20111020000370 | I | Internal Medicine | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,558 | 278 | $0 |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 968 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 754 | 516 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 530 | 366 | $0 |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 353 | 101 | $0 |
Insurance plans in this area (ZIP 30720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 105 | 101 |
| INTERNAL MEDICINE | GA | 77300 | Calculation of radiation therapy dose | 98 | 80 |
| INTERNAL MEDICINE | GA | 77427 | Radiation treatment management, 5 treatments | 184 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physician Assistant | TN | |
| Plastic And Reconstructive Surgery | TN | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
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