Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Radwin Clark, PA-C

Individual provider Physician Assistant · NPI 1376283218

Ryan Radwin Clark, PA-C is a Physician Assistant in Black Mountain, North Carolina. Qualified in 2021, 5 years ago. Practices with Firsthealth of the Carolinas Inc, a 136-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
Specialties on file
2
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

181 Lake Eden Rd
Black Mountain, NC 28711-8707
Phone: (704) 770-5527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1376283218
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022
Mailing address181 Lake Eden Rd, Black Mountain, NC 28711-8707

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Firsthealth Of The Carolinas Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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