MRS. CARLA BETH CLARK (NPI# 1073892832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073892832 |
| Entity Type | Individual |
| Full Name | MRS. CARLA BETH CLARK |
| Credential | RD, LD, RN |
| Practice Address |
610 Sparta Rd Sandersville GA 31082-1860 |
| Mailing Address |
Po Box 636 Sandersville GA 31082-0636 |
| Practice Telephone | 4782402181 |
| Practice Fax Number | 4782402020 |
| Mailing Telephone | 4782402181 |
| Mailing Fax Number | 4782402020 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD002458 | GA | Dietary & Nutritional Service Providers |
| N | 163W00000X | Registered Nurse | RN207257 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982890414 | Carla Marie Clark | Physical Therapy Assistant | 709 W Channel Islands Blvd, Suite 157, Port Hueneme, CA 93041-2130 | 2007-09-19 |
| 1114385606 | Carla Clark | Counselor | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2016-01-29 |
| 1013205434 | Carla Christine Clark | Speech-Language Pathologist | 3200 Broadway Blvd, Suite 250, Garland, TX 75043-1573 | 2011-07-19 |
| 1538273826 | Carla Gaff Clark | Psychologist | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-08-17 |
| 1750399093 | Carla M Clark | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-08-03 |
| Street Address |
610 SPARTA RD |
| City | SANDERSVILLE |
| State | GA |
| Zip Code | 31082-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639147531 | Luis J Ramos Santiago | General Practice | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2006-03-08 |
| 1487266938 | Hanz E Wien | Physical Therapist | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2020-08-17 |
| 1821607359 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2020-07-30 |
| 1528619491 | Hospital Authority of Washington County | Clinic/Center | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2019-09-23 |
| 1174024665 | Wc Physician Group LLC | Family Medicine | 610 Sparta Rd, Sandersville, GA 31082 | 2018-02-21 |
| 1164969242 | Lauren Dailey | Occupational Therapist | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2017-01-26 |
| 1174069959 | Washington County Emergency Medicine Group, LLC | Emergency Medicine | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2017-01-17 |
| 1265868590 | Lauren Wells Kent | Speech-Language Pathologist | 610 Sparta Rd, Sandersville, Sandersville, GA 31082-1860 | 2013-09-18 |
| 1629336615 | Brandon Ainsley Roberts | Emergency Medicine | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2012-04-26 |
| 1649402686 | Lori Crenshaw Vaughn | Physical Therapist | 610 Sparta Rd, Sandersville, GA 31082-1860 | 2009-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033613724 | Keith B Thompson | Driver | 417 W Haynes St, Sandersville, GA 31082 | 2018-03-19 |
| 1922451079 | Thomas A Curry | Pharmacist | 514 Washington Avenue, Sandersville, GA 31082 | 2016-07-13 |
| 1770952574 | Cynthia J. Roche | Physical Therapist | 618 Ferncrest Drive, Sandersville, GA 31082 | 2015-09-22 |
| 1376948109 | Solomon Agyeman | Physical Therapist | 610 Sparta Wood, Sandersville, GA 31082 | 2014-10-22 |
| 1649472036 | John R. Clements | Dentist | 106 W 2nd Ave, Sandersville, GA 31082 | 2007-06-05 |
| 1821214271 | John W Dickey | Dentist | 201 Medical Arts Drive, Sandersville, GA 31082 | 2007-04-17 |
| 1346340320 | Mark R Harvey Md PC | Internal Medicine | 203 Medical Arts Pl, Suite 3, Sandersville, GA 31082 | 2006-09-22 |
| 1932202694 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 S Harris St, Sandersville, GA 31082 | 2006-09-07 |
| 1053421172 | Mark R Harvey | Internal Medicine | 203 Medical Arts Place, Suite 3, Sandersville, GA 31082 | 2006-08-30 |
| 1093757239 | Parrin Tareyl Barton | Family Medicine | 610 Ferncrest Drive, Sandersville, GA 31082 | 2006-06-12 |
| Find all providers in zip 31082 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | SANDERSVILLE |
| Zip Code | 31082 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.