NORTH CLARK MEDICAL GROUP LLC
NORTH CLARK MEDICAL GROUP LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1376095711, based in Jeffersonville, IN. The organization lists 15 taxonomy classifications, with General Practice Physician recorded as primary.
Getting there
The practice address on file is 1802 E 10TH ST, Jeffersonville, IN 47130. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3971879354
Enrolled in Medicare 5 times, across 4 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Indiana | O20171031000657 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20180216002232 | Part B Supplier - Clinic/group Practice |
| Texas | O20200511001537 | Part B Supplier - Clinic/group Practice |
| Georgia | O20200512001817 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20240815002350 | Part B Supplier - Opioid Treatment Program (otp) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 5 separate enrolment records across 4 states (IN, KY, TX, GA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center Primary Care | — | — | |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | — | — | |
| 324500000X | Substance Abuse Rehabilitation Facility | — | — | |
| 291U00000X | Clinical Medical Laboratory | — | — | |
| 261QM2800X | Methadone Clinic Methadone | — | — | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | — | — | |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician Addiction Medicine | — | — | |
| 261QU0200X | Urgent Care Clinic/Center Urgent Care | — | — | |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | |
| 251B00000X | Case Management Agency | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 208D00000X | General Practice Physician | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1376095711 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 2, 2016 |
| Last updated | Apr 9, 2026 |
| Status | Active |
| Practice address |
1802 E 10TH ST Jeffersonville, IN 47130 (812) 288-2488 Fax (812) 288-6603 |
| Mailing address |
2100 MARKET ST STE 101 Charlestown, IN 47111 |
| Other identifiers |
300010664
· Medicaid (IN) 7100535740 · Medicaid (KY) IN3604 · Other (IN) K258180 · Other (KY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 0 | 9 | 5 | 7 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 0 | 9 | 1 | 7 | 2 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.