DR. CARLOS STANFORD CLARK MD NPI 1063851277

NPI Information

  • NPI: 1063851277
  • Provider Name: DR. CARLOS STANFORD CLARK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 201 DOCTORS DRIVE
    DOTHAN, AL
    ZIP 36301
  • Phone: (334) 794-6612

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NPI Details

DR. Carlos Stanford Clark, MD is a family medicine in Dothan, AL with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Carlos Stanford Clark, MD NPI is 1063851277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 DOCTORS DRIVE
DOTHAN, AL
ZIP 36301
Phone: (334) 794-6612
Fax: (334) 794-6614

The NPI 1063851277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Magnesium level (HCPCS:83735)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Vitamin d-3 level (HCPCS:82306)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Uric acid level, blood (HCPCS:84550)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Lipase (fat enzyme) level (HCPCS:83690)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)

The enumeration date for this NPI number is 6/20/2013 and was last updated on 8/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME116951FLORIDANo
2207Q00000XFamily MedicineMD.32611ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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