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

Derek Blaine Clark, DO

Individual provider Family Medicine Physician · NPI 1568041655

Derek Blaine Clark, DO is a Family Practice in Parksley, Virginia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2021, 5 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
VA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

17385 Lankford Hwy
Parksley, VA 23421-3882
Phone: (757) 665-5996
Fax: (757) 665-5973
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102208196 (VA)

Record details

NPI number1568041655
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2021
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address856 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1318

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2021 (5 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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