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

Dr. Jason M Clark, MD

Individual provider Surgery Physician · NPI 1649421132

Dr. Jason M Clark, MD is a General Surgery in Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2005, 21 years ago. Practices with Tri-County Surgical Specialists LLC, a 31-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
21
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2008
Specialties on file
4
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

9291 Medical Plaza Dr
Charleston, SC 29406-9126
Phone: (843) 764-2173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence 37523 (SC)
Surgery Physician Taxonomy 208600000X · Licence 37523 (SC)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 37523 (SC)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 37523 (SC)

Record details

NPI number1649421132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2008
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Tri-County Surgical Specialists Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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