OrganizationActive
Clark Palliative Medicine Group
NPI 1417680612 · Hospice and Palliative Medicine (Internal Medicine) Physician · Alexandria, VA
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
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2501 Parkers Ln Fl 4
Alexandria, VA 22306-3209
Phone: (703) 664-7000
Approximate (ZIP-level) locationGet directions
Mailing address
3575 Bridge Rd Ste 8
Suffolk, VA 23435-1800
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.