Jevin Clark, MD
NPI 1912698648 · Pediatrics Physician · Providence, RI
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jevin Clark, MD is a Pediatrics Physician provider in Providence, RI (NPI 1912698648).
Provider details
- NPI number
- 1912698648
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- CLP05853 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
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
- 2023-05-15
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Frequently asked questions
- What is Jevin Clark's NPI number?
- Jevin Clark's National Provider Identifier (NPI) is 1912698648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jevin Clark's specialty?
- Jevin Clark is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jevin Clark located?
- Jevin Clark's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Jevin Clark's phone number?
- The practice phone number listed in the NPPES registry for Jevin Clark is (401) 444-4393.
- Does Jevin Clark accept Medicare?
- Jevin Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jevin Clark's NPI active?
- Yes — Jevin Clark's NPI (1912698648) is active in the NPPES registry as of the last update on 2023-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.