NPI
Stephen Brent Clark
NPI 1952300832
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- O.D.
- Type
- Individual
- Enumeration date
- 2005-07-21
- Last updated
- 2010-07-22
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
- License TN
- OD002478
- License GA
- OPT002352
Location
- Practice location
- 8390 North Hwy 27
- City
- Rock Spring GA
- Postal code
- 30739-2103
- Phone
- (706) 375-1720
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Rock Spring, GA. 29 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.