IndividualActive
Donald Clark
NPI 1124282538 · Community Health Worker · Charlotte, NC
Donald Clark is a Community Health Worker provider in Charlotte, NC (NPI 1124282538).
Provider details
- NPI number
- 1124282538
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5117 Tarrywood Ln
Charlotte, NC 28205-4827
Phone: (704) 200-1028
Street-level locationGet directions
Mailing address
5117 Tarrywood Ln
Charlotte, NC 28205-4827
Registry dates
- Enumerated
- 2008-07-15
- Last updated
- 2008-07-15
Frequently asked questions
- What is Donald Clark's NPI number?
- Donald Clark's National Provider Identifier (NPI) is 1124282538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Clark's specialty?
- Donald Clark is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Donald Clark located?
- Donald Clark's practice location on file with NPPES is 5117 Tarrywood Ln, Charlotte, NC 28205-4827.
- What is Donald Clark's phone number?
- The practice phone number listed in the NPPES registry for Donald Clark is (704) 200-1028.
- Is Donald Clark's NPI active?
- Yes — Donald Clark's NPI (1124282538) is active in the NPPES registry as of the last update on 2008-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.