Jason H Clark & Sandra J Clark
NPI 1912185927 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Water Valley, MS
Enrolled with Medicare as Part B Supplier - Portable X-Ray Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason H Clark & Sandra J Clark is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier organization in Water Valley, MS (NPI 1912185927).
Provider details
- NPI number
- 1912185927
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jason Clark, Owner(662) 514-5215
- License
- MRT2279 (MS)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense MRT2279 (MS)
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,876 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Set-Up Portable X-Ray EquipmentQ0092 | 1,036 | $22 |
| Transportation of Portable X-Ray Equipment and Personnel to Home Or Nursing Home, Per Trip to Facility Or Location, One Patient SeenR0070 | 649 | $184 |
| X-Ray of Chest, 1 View71045 | 438 | $22 |
| Transportation of Portable X-Ray Equipment and Personnel to Home Or Nursing Home, Per Trip to Facility Or Location, More Than One Patient SeenR0075 | 193 | $81 |
| X-Ray of Hip, 2-3 Views73502 | 125 | $41 |
| X-Ray of Abdomen, 1 View74018 | 58 | $26 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-01
- Last updated
- 2008-12-03
Frequently asked questions
- What is Jason H Clark & Sandra J Clark's NPI number?
- Jason H Clark & Sandra J Clark's National Provider Identifier (NPI) is 1912185927, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jason H Clark & Sandra J Clark?
- Jason H Clark & Sandra J Clark is classified in the NPPES registry as Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Suppliers).
- Where is Jason H Clark & Sandra J Clark located?
- Jason H Clark & Sandra J Clark's practice location on file with NPPES is 139 County Road 379, Water Valley, MS 38965-3607.
- What is Jason H Clark & Sandra J Clark's phone number?
- The practice phone number listed in the NPPES registry for Jason H Clark & Sandra J Clark is (662) 514-5215.
- Does Jason H Clark & Sandra J Clark accept Medicare?
- Jason H Clark & Sandra J 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 Jason H Clark & Sandra J Clark?
- The authorized official listed on Jason H Clark & Sandra J Clark's NPPES record is Jason Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jason H Clark & Sandra J Clark's NPI active?
- Yes — Jason H Clark & Sandra J Clark's NPI (1912185927) is active in the NPPES registry as of the last update on 2008-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.