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

Justin Patrick Clark, MD

Individual provider Family Medicine Physician · NPI 1609135011

Justin Patrick Clark, MD is a Family Practice in Jacksonville, Florida. Graduated from Meharry Medical College School of Medicine in 2012, 14 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Missouri.

Years since qualifying
14
Trained at
Meharry Medical College School of Medicine
Licensed in
FL, MO
In the registry since
2012
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

532 Riverside Ave Ste 103
Jacksonville, FL 32202-4914
Phone: (904) 353-5696
Fax: (904) 390-7483
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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 ME155207 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2015027593 (MO)

Record details

NPI number1609135011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022
Mailing addressPo Box 746638, Atlanta, GA 30374-6638

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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