DONOVAN DERYL CLARK (MD) – Psychiatry Physician, NPI 1235199100

DONOVAN DERYL CLARK (MD) is a healthcare provider. based in Danville, Virginia. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. VA 0101057639 (VA). The NPI Number for DONOVAN DERYL CLARK (MD) is 1235199100

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DONOVAN DERYL CLARK (MD)
NPI
1235199100
Phone
(434) 773-4240
Address
382 TAYLOR DR
Enumeration Date
24 March 2006
Last Update Date
8 January 2008

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7037927800
Graduation Year
2005 (21 years ago)
PAC ID
9234429457
Group Practice PAC ID
7113912973
Professional Enrollment ID
I20161019003190
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DONOVAN DERYL CLARK (MD)

  • Southern Virginia Mental Health Institute, 382, Taylor Drive, Danville City, Virginia, 24541, United States

    DANVILLE, VA 24541

    Phone: (434) 773-4240

    Fax: (434) 773-4241

    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 285 Open Payments records for all available years, with a total value of $6,793.

Total Amount is formed as General ($6,793) + Research ($0) + Ownership ($0) = $6,793.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($880).

Total Amount

$6,793

General + Research + Ownership

Payments

285

Total payment records

General Amount

$6,793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161019003190IPsychiatryVATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24541)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113912973View full group profile
NameSpecialtyState
Mental Health CounselorVA
-VA
Clinical Social WorkerWA
Clinical Social WorkerVA
-VA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

How is DONOVAN DERYL CLARK (MD) identified in CMS data?
CMS-hosted NPPES data lists DONOVAN DERYL CLARK (MD) with NPI 1235199100.
Can I rely on DONOVAN DERYL CLARK (MD) being an active provider?
As of the registry snapshot, DONOVAN DERYL CLARK (MD) is marked active.
What is DONOVAN DERYL CLARK (MD)'s primary classification?
Psychiatry Physician is the headline specialty for DONOVAN DERYL CLARK (MD) here. Clinical services aligned with this taxonomy classification.
What area does DONOVAN DERYL CLARK (MD) serve?
DONOVAN DERYL CLARK (MD)'s listing highlights Danville, Virginia; more addresses can appear in NPPES.
Is the information about DONOVAN DERYL CLARK (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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