Clark Palliative Medicine Group
NPI 1417680612 · Hospice and Palliative Medicine (Internal Medicine) Physician · Alexandria, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clark Palliative Medicine Group is a Hospice and Palliative Medicine (Internal Medicine) Physician organization in Alexandria, VA (NPI 1417680612).
Provider details
- NPI number
- 1417680612
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Clark Alliance Services Inc
- Organization subpart
- Yes
- Authorized official
- Victor Clark, Owner(757) 582-1629
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Additional practice locations (1)
- 105 Watch Harbour CtSuffolk, VA 23435-3179Phone: (757) 582-1629
Registry dates
- Enumerated
- 2022-07-05
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Clark Palliative Medicine Group's NPI number?
- Clark Palliative Medicine Group's National Provider Identifier (NPI) is 1417680612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Palliative Medicine Group?
- Clark Palliative Medicine Group is classified in the NPPES registry as Hospice and Palliative Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Clark Palliative Medicine Group located?
- Clark Palliative Medicine Group's practice location on file with NPPES is 2501 Parkers Ln Fl 4, Alexandria, VA 22306-3209.
- What is Clark Palliative Medicine Group's phone number?
- The practice phone number listed in the NPPES registry for Clark Palliative Medicine Group is (703) 664-7000.
- Does Clark Palliative Medicine Group accept Medicare?
- Clark Palliative Medicine Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clark Palliative Medicine Group?
- The authorized official listed on Clark Palliative Medicine Group's NPPES record is Victor Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Palliative Medicine Group's NPI active?
- Yes — Clark Palliative Medicine Group's NPI (1417680612) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.