Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark D Phelps III, MD

Individual provider Surgery Physician · NPI 1730749151

Clark D Phelps III, MD is a Diagnostic Radiology in Greenville, South Carolina. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices with Pelican II LLC, an 18-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Trained at
Wayne State University School of Medicine
Licensed in
SC
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd Fl 3
Greenville, SC 29605-4295
Phone: (864) 455-1435
Fax: (864) 455-1320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence LL82868 (SC)

Record details

NPI number1730749151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Pelican Ii Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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