Byron Kemp Clark
NPI 1871392860 · Family Nurse Practitioner · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Byron Kemp Clark is a Family Nurse Practitioner organization in Hattiesburg, MS (NPI 1871392860).
Provider details
- NPI number
- 1871392860
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Byron Clark, Office Manager/ Clinic Owner(601) 410-6525
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
1 yr 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
Mailing address
Other names (DBA / former)
- Doing business as
- Magnolia Family Wellness Clinic
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Byron Kemp Clark's NPI number?
- Byron Kemp Clark's National Provider Identifier (NPI) is 1871392860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Byron Kemp Clark?
- Byron Kemp Clark is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Byron Kemp Clark located?
- Byron Kemp Clark's practice location on file with NPPES is 5056 W 4th St # 100, Hattiesburg, MS 39402-1069.
- What is Byron Kemp Clark's phone number?
- The practice phone number listed in the NPPES registry for Byron Kemp Clark is (601) 410-6525.
- Does Byron Kemp Clark accept Medicare?
- Byron Kemp Clark 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 Byron Kemp Clark?
- The authorized official listed on Byron Kemp Clark's NPPES record is Byron Clark, Office Manager/ Clinic Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Byron Kemp Clark's NPI active?
- Yes — Byron Kemp Clark's NPI (1871392860) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.