DR. EILIS CLARK MD NPI 1073621215

NPI Information

  • NPI: 1073621215
  • Provider Name: DR. EILIS CLARK, MD
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2066 NC-125
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Phone: (252) 536-2000

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NPI Details

DR. Eilis Clark, MD is a psychiatry psychiatry neurology in Roanoke Rapids, NC with 30 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Eilis Clark, MD NPI is 1073621215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

2066 NC-125
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 536-2000

The NPI 1073621215 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychotherapy with evaluation and management visit, 1 hour (HCPCS:90838)
  • Psychotherapy with evaluation and management visit, 45 minutes (HCPCS:90836)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 8/28/2006 and was last updated on 3/20/2025.

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 MedicineME80041FLORIDANo
22084P0800XPsychiatry & NeurologyPsychiatryME80041FLORIDANo
32084P0800XPsychiatry & NeurologyPsychiatry9601164NORTH CAROLINAYes

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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