DR. DESRA KAY CLARK (D.O.) – Adult Medicine Physician, NPI 1477816601

DR. DESRA KAY CLARK (D.O.) is a healthcare provider. based in Cocoa, Florida. specializing in Adult Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS12364 (FL). The NPI Number for DR. DESRA KAY CLARK (D.O.) is 1477816601

Main info

Female
Name
DR. DESRA KAY CLARK (D.O.)
NPI
1477816601
Phone
(321) 877-2740
Address
7227 N US HIGHWAY 1
Enumeration Date
22 June 2012
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. DESRA KAY CLARK (D.O.)

  • 7227 N US HIGHWAY 1

    COCOA, FL 329275020

    Phone: (321) 877-2740

    Fax: (321) 877-2793

    Type: Location

  • PO BOX 1137

    MELBOURNE, FL 329021137

    Phone: (321) 952-9696

    Fax: (321) 952-7937

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-05-11

PECOS data refreshed: 2026-05-27

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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 32927)

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Reviews

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Frequently asked questions

What is the registry number for DR. DESRA KAY CLARK (D.O.)?
The registry entry for DR. DESRA KAY CLARK (D.O.) shows NPI 1477816601.
Quick check: is DR. DESRA KAY CLARK (D.O.) active?
Public NPPES data shows DR. DESRA KAY CLARK (D.O.) with an active NPI status right now.
What type of care does DR. DESRA KAY CLARK (D.O.) provide?
DR. DESRA KAY CLARK (D.O.)'s profile centers on Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DESRA KAY CLARK (D.O.)?
DR. DESRA KAY CLARK (D.O.) shows a connection to Cocoa, Florida in registry-derived data.
Can I export DR. DESRA KAY CLARK (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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