Charles Clark
NPI 1780913640 · Medical Physician Assistant · Jacksonville, FL
Charles Clark is a Medical Physician Assistant provider in Jacksonville, FL (NPI 1780913640).
Provider details
- NPI number
- 1780913640
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-12-23
- Last updated
- 2009-12-23
Frequently asked questions
- What is Charles Clark's NPI number?
- Charles Clark's National Provider Identifier (NPI) is 1780913640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Clark's specialty?
- Charles Clark is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Charles Clark located?
- Charles Clark's practice location on file with NPPES is Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Jacksonville, FL 92055-0140.
- What is Charles Clark's phone number?
- The practice phone number listed in the NPPES registry for Charles Clark is (858) 361-9254.
- Is Charles Clark's NPI active?
- Yes — Charles Clark's NPI (1780913640) is active in the NPPES registry as of the last update on 2009-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.