MR. DARRICK LAMONT CLARK PA
NPI 1427297811
Physician Assistant - Surgical in Canton, GA

NPI Status: Active since February 09, 2009

Contact Information

111 HOLLY MILL VILLAGE DR
CANTON, GA
ZIP 30114
Phone: (678) 787-8173

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  • Individual
  • Male
  • Physician Assistant
  • Surgical

About DARRICK CLARK

This page provides the complete NPI Profile along with additional information for Darrick Clark, a provider established in Canton, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1427297811 assigned on February 2009. The practitioner's primary taxonomy code is 363AS0400X with license number 3053 (GA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1427297811
Provider Name
MR. DARRICK LAMONT CLARK PA
Gender
Male
Entity Type
Individual
Location Address
111 HOLLY MILL VILLAGE DR CANTON, GA 30114
Location Phone
(678) 787-8173
Mailing Address
111 HOLLY MILL VILLAGE DR CANTON, GA 30114
Mailing Phone
(678) 787-8173
Is Sole Proprietor?
Yes
Enumeration Date
02-09-2009
Last Update Date
02-07-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3053
License State
GA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427297811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447491482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 9 + 1 + 4 + 8 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1427297811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427297811, enumerated in the NPI registry as an "individual" on February 09, 2009

The provider is located at 111 Holly Mill Village Dr Canton, Ga 30114 and the phone number is (678) 787-8173

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

This NPI record was last updated on February 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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