OrganizationActive
Clark Pediatric Medicine LLC
NPI 1417885583 · Pediatrics Physician · Anderson, SC
Clark Pediatric Medicine LLC is a Pediatrics Physician organization in Anderson, SC (NPI 1417885583).
Provider details
- NPI number
- 1417885583
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sara Clark, Owner(864) 387-0016
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1530 N Fant St Ste C1
Anderson, SC 29621-4700
Phone: (864) 559-8464
Street-level locationGet directions
Mailing address
119 Kilsprings Rd
Anderson, SC 29621-4224
Registry dates
- Enumerated
- 2026-05-11
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Frequently asked questions
- What is Clark Pediatric Medicine LLC's NPI number?
- Clark Pediatric Medicine LLC's National Provider Identifier (NPI) is 1417885583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Pediatric Medicine LLC?
- Clark Pediatric Medicine LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Clark Pediatric Medicine LLC located?
- Clark Pediatric Medicine LLC's practice location on file with NPPES is 1530 N Fant St Ste C1, Anderson, SC 29621-4700.
- What is Clark Pediatric Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Clark Pediatric Medicine LLC is (864) 559-8464.
- Who is the authorized official for Clark Pediatric Medicine LLC?
- The authorized official listed on Clark Pediatric Medicine LLC's NPPES record is Sara Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Pediatric Medicine LLC's NPI active?
- Yes — Clark Pediatric Medicine LLC's NPI (1417885583) is active in the NPPES registry as of the last update on 2026-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.