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

Dr. Nicholas Samuel Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356760508

Dr. Nicholas Samuel Clark, MD is a Pain Management in Roanoke, Virginia. Graduated from University of Virginia School of Medicine in 2014, 12 years ago. Practices with Carilion Medical Center, a 951-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
12
Trained at
University of Virginia School of Medicine
Licensed in
VA
In the registry since
2014
Specialties on file
2
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

2331 Franklin Rd SW
Roanoke, VA 24014-1111
Phone: (540) 224-5170
Fax: (540) 344-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 0101264909 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356760508
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address2331 Franklin Rd Sw, Roanoke, VA 24014-1111

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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