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

Mr. Samuel Jason Clark, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1285983247

Mr. Samuel Jason Clark, PHYSICIANASSISTANT is a Physician Assistant in Beaufort, South Carolina. Practices as a sole proprietor. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone: (843) 228-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5174 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11081 (NC)

Record details

NPI number1285983247
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 6, 2012
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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