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

Iris Kalin Clark, MD

Individual provider Family Medicine Physician · NPI 1174887004

Iris Kalin Clark, MD is a Family Practice in Statesboro, Georgia. Qualified in 2011, 15 years ago. Practices with Clark Medical Group LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Licensed in
GA
In the registry since
2012
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

1550 Brampton Ave Ste B
Statesboro, GA 30458-0886
Phone: (912) 623-2155
Fax: (912) 623-5156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73272 (GA)

Record details

NPI number1174887004
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESMay 3, 2016
Mailing address1550 Brampton Ave, Ste B, Statesboro, GA 30458-0886

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Clark Medical Group Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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