OrganizationActive
Robert B Clark Jr MD LLC
NPI 1326079039 · Specialist · Vidalia, GA
Robert B Clark Jr MD LLC is a Specialist organization in Vidalia, GA (NPI 1326079039).
Provider details
- NPI number
- 1326079039
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Priscilla Edge, Credentialing(912) 537-8691
- License
- 020521 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1811 Manning Drive
Vidalia, GA 30474
Phone: (912) 537-6634
Fax: (912) 537-1909
Street-level locationGet directions
Mailing address
1811 Manning Drive
Vidalia, GA 30474
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2013-03-27
Frequently asked questions
- What is Robert B Clark Jr MD LLC's NPI number?
- Robert B Clark Jr MD LLC's National Provider Identifier (NPI) is 1326079039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Robert B Clark Jr MD LLC?
- Robert B Clark Jr MD LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Robert B Clark Jr MD LLC located?
- Robert B Clark Jr MD LLC's practice location on file with NPPES is 1811 Manning Drive, Vidalia, GA 30474.
- What is Robert B Clark Jr MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Robert B Clark Jr MD LLC is (912) 537-6634.
- Who is the authorized official for Robert B Clark Jr MD LLC?
- The authorized official listed on Robert B Clark Jr MD LLC's NPPES record is Priscilla Edge, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Robert B Clark Jr MD LLC's NPI active?
- Yes — Robert B Clark Jr MD LLC's NPI (1326079039) is active in the NPPES registry as of the last update on 2013-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.