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Marshall Clack, II
NPI 1275963514 · Contractor · Madison, GA
Marshall Clack, II is a Contractor provider in Madison, GA (NPI 1275963514).
Provider details
- NPI number
- 1275963514
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1075 S Main St
St 100
Madison, GA 30650-2033
Phone: (706) 752-0322
Street-level locationGet directions
Mailing address
2323 Fieldstone Dr Se
Conyers, GA 30013-1918
Registry dates
- Enumerated
- 2013-11-23
- Last updated
- 2013-11-23
Frequently asked questions
- What is Marshall Clack, II's NPI number?
- Marshall Clack, II's National Provider Identifier (NPI) is 1275963514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marshall Clack, II's specialty?
- Marshall Clack, II is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Marshall Clack, II located?
- Marshall Clack, II's practice location on file with NPPES is 1075 S Main St, Madison, GA 30650-2033.
- What is Marshall Clack, II's phone number?
- The practice phone number listed in the NPPES registry for Marshall Clack, II is (706) 752-0322.
- Is Marshall Clack, II's NPI active?
- Yes — Marshall Clack, II's NPI (1275963514) is active in the NPPES registry as of the last update on 2013-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.