IndividualActive
John Clark
NPI 1104794197 · Case Manager/Care Coordinator · Jackson, MI
John Clark is a Case Manager/Care Coordinator provider in Jackson, MI (NPI 1104794197).
Provider details
- NPI number
- 1104794197
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 N West Ave
Jackson, MI 49202-2179
Phone: (517) 789-1209
Fax: (517) 796-4532
Street-level locationGet directions
Mailing address
1200 N West Ave
Jackson, MI 49202-2179
Additional practice locations (1)
- 25 Care DrHillsdale, MI 49242-5054Phone: (517) 439-2641Fax: (517) 796-4532
Registry dates
- Enumerated
- 2025-10-29
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is John Clark's NPI number?
- John Clark's National Provider Identifier (NPI) is 1104794197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Clark's specialty?
- John Clark is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is John Clark located?
- John Clark's practice location on file with NPPES is 1200 N West Ave, Jackson, MI 49202-2179.
- What is John Clark's phone number?
- The practice phone number listed in the NPPES registry for John Clark is (517) 789-1209.
- Is John Clark's NPI active?
- Yes — John Clark's NPI (1104794197) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.