JAMES CLARK (MD) – Rheumatology Physician, NPI 1154954758

JAMES CLARK (MD) is a healthcare provider. based in Waycross, Georgia. specializing in Rheumatology Physician. They hold the professional credentials MD. They hold a License No. 38204 (GA). The NPI Number for JAMES CLARK (MD) is 1154954758

Main info

Male
Sole Proprietor
Name
JAMES CLARK (MD)
NPI
1154954758
Phone
(912) 816-3455
Address
1409 SATILLA BLVD
Enumeration Date
21 February 2020
Last Update Date
5 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for JAMES CLARK (MD)

  • 1409 SATILLA BLVD

    WAYCROSS, GA 315014322

    Phone: (912) 816-3455

    Type: Location

  • PO BOX 225

    HOBOKEN, GA 315420225

    Phone:

    Type: Mailing

  • 5333 N 7TH ST STE B112

    PHOENIX, AZ 850142840

    Phone: (480) 571-6761

    Type: Location

  • 1401 25th St S

    Great Falls, MT 594055183

    Phone: (406) 731-8888

    Fax: (406) 731-8318

    Type: Location

  • 1409 Satilla Blvd

    Waycross, GA 315014322

    Phone: (912) 816-3455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $714.

Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Amgen Inc. ($300).

Total Amount

$714

General + Research + Ownership

Payments

29

Total payment records

General Amount

$714

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2023-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20210211001040IRheumatologyILTBD
I20210721002850IRheumatologyGATBD
I20211116002623IRheumatologyAZTBD
I20230925003295IRheumatologyMTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg2,22037$0
99214Established patient office or other outpatient visit, 30-39 minutes198178$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13023$0
96372Injection of drug or substance under skin or into muscle5247$0
J7050Infusion, normal saline solution, 250 cc2320$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JAMES CLARK (MD)?
JAMES CLARK (MD) — NPI 1154954758 — is the standard way to identify this listing.
Can I rely on JAMES CLARK (MD) being an active provider?
As of the registry snapshot, JAMES CLARK (MD) is marked active.
What taxonomy line describes JAMES CLARK (MD)?
For research purposes, treat JAMES CLARK (MD) as Rheumatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JAMES CLARK (MD) list a practice location?
Patients near Waycross, Georgia may find JAMES CLARK (MD) in results; validate coverage separately.
Why does JAMES CLARK (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.