DENNIS DEWAYNE CLARK M.D. NPI 1356313969

NPI Information

  • NPI: 1356313969
  • Provider Name: DENNIS DEWAYNE CLARK, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 TOWN CENTER DR
    ANNISTON, AL
    ZIP 36205
  • Phone: (256) 237-1624

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NPI Details

Dennis Dewayne Clark, M.D. is a specialist in Anniston, AL with 30 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Dennis Dewayne Clark, M.D. NPI is 1356313969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

111 TOWN CENTER DR
ANNISTON, AL
ZIP 36205-101
Phone: (256) 237-1624
Fax: (256) 238-0555

The NPI 1356313969 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, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Fine needle aspiration biopsy using ultrasound guidance, each additional growth (HCPCS:10006)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Mastectomy (HCPCS:NAN04)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/7/2006 and was last updated on 7/28/2011.

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
1174400000XSpecialist23397ALABAMAYes

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
151097064OTHERALABAMABLUE CROSS BLUE SHIELD
2000097064MEDICAIDALABAMA
3020048856OTHERALABAMAUNITED HEALTHCARE
4H24995MEDICARE UPINALABAMA

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: 3/30/2025

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