CLARK E PRITTS DO NPI 1104814946

NPI Information

  • NPI: 1104814946
  • Provider Name: CLARK E PRITTS, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5145 SELLERS RD
    SHALLOTTE, NC
    ZIP 28470
  • Phone: (910) 754-4441

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NPI Details

Clark E Pritts, DO is a family medicine in Shallotte, NC. 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. Clark E Pritts, DO NPI is 1104814946. 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:

5145 SELLERS RD
SHALLOTTE, NC
ZIP 28470-405
Phone: (910) 754-4441
Fax: (910) 754-5307

The NPI 1104814946 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 enumeration date for this NPI number is 10/6/2005 and was last updated on 2/20/2013.

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 Medicine5101009995MICHIGANNo
2207Q00000XFamily Medicine200401306NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1141H5OTHERNORTH CAROLINABCBS OF NC
25903932MEDICAIDNORTH CAROLINA
32402987BMEDICARE PINNORTH CAROLINA
42402987CMEDICARE PINNORTH CAROLINA
5E85223MEDICARE UPIN
62344688HMEDICARE PINNORTH CAROLINA

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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