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

Mr. Justin Clark, PA-C

Individual provider Physician Assistant · NPI 1801493226

Mr. Justin Clark, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Emergency Medicine Physicians of Craven County PLLC, a 17-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

645 E Missouri Ave Ste 300
Phoenix, AZ 85012-1351
Phone: (480) 500-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9159 (AZ)

Record details

NPI number1801493226
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Emergency Medicine Physicians Of Craven County Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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