LEILA CLARK (NPI# 1740728690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740728690 |
| Entity Type | Individual |
| Full Name | LEILA CLARK |
| Credential | NP |
| Practice Address |
7566 Nashville St Ringgold GA 30736-2361 |
| Mailing Address |
Po Box 181 Ringgold GA 30736-0181 |
| Practice Telephone | 7069353600 |
| Practice Fax Number | 7069353900 |
| Mailing Telephone | 7069353600 |
| Mailing Fax Number | 7069353900 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
60018 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043463201 | Leila Suzanne Clark | Social Worker | 21 Hill 99, Woodstock, NY 12498-1424 | 2008-10-31 |
| Street Address |
7566 NASHVILLE ST |
| City | RINGGOLD |
| State | GA |
| Zip Code | 30736-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295829885 | Price Ringgold Drug Inc | Pharmacy | 7566 Nashville St, Ringgold, GA 30736-2361 | 2006-10-03 |
| 1033638234 | Sarah Harris | Nurse Practitioner | 7566 Nashville St, Ringgold, GA 30736-2361 | 2017-09-19 |
| 1265895916 | Weaver Health Services, LLC | Nurse Practitioner | 7566 Nashville St, Ringgold, GA 30736-2361 | 2016-03-31 |
| 1861884512 | Leslie Weaver | Nurse Practitioner | 7566 Nashville St, Ringgold, GA 30736-2361 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649746132 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 150 Highway 41, Ringgold, GA 30736 | 2018-10-23 |
| 1033693536 | Daniel Travis | Occupational Therapist | 4725 Battlefield Pkwy, Ringgold, GA 30736 | 2018-09-20 |
| 1124505458 | Publix Super Markets, Inc. | Pharmacy | 3775 Battlefield Pkwy, Ringgold, GA 30736 | 2018-07-19 |
| 1992202840 | Benjamin Travanta Oliver | Physician Assistant | 45 College Park Dr Ste A, Ringgold, GA 30736 | 2018-04-08 |
| 1891299970 | Zach Walker | Chiropractor | 6715 Us-41, Ringgold, GA 30736 | 2018-03-22 |
| 1871095331 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 4725 Battlefield Parkway, Ringgold, GA 30736 | 2018-03-01 |
| 1871043711 | Kristen Connell Schulz | Counselor | 4083 Cloud Springs Road, Ringgold, GA 30736 | 2016-10-04 |
| 1467862649 | Alicia Daniels Dyer | Pediatrics | Chi Memorial Pediatric Diagnostic Associates, 4700 Battlefield Parkway, Suite 230, Ringgold, GA 30736 | 2014-04-28 |
| 1669899563 | Alford Leon Dyer IIi | Pediatrics | 4700 Battlefield Parkway, Suite 230, Chi Memorial Pediatric Diagnostic Associates, Ringgold, GA 30736 | 2014-03-28 |
| 1790065233 | Megan Potts Brown | Family Medicine | 45 College Park Dr, Ringgold, GA 30736 | 2011-08-27 |
| Find all providers in zip 30736 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265910475 | Carly Louderback Davis | Nurse Practitioner | 210 Gilbert Rd, Ringgold, GA 30736-2724 | 2018-07-31 |
| 1073099677 | Ashley Dye Blevins | Nurse Practitioner | 374 Pine St, Ringgold, GA 30736-7118 | 2018-07-17 |
| 1003307000 | Sandra Ann Martin | Nurse Practitioner | 834 Capehart Rd, Ringgold, GA 30736-9037 | 2018-05-24 |
| 1841725157 | April Michelle Summers | Nurse Practitioner | 85 Sunflower Ln, Ringgold, GA 30736-4566 | 2017-04-24 |
| 1356893432 | Rebecca Melissa Scruggs | Nurse Practitioner | 1249 Houston Valley Rd, Ringgold, GA 30736-8625 | 2016-10-25 |
| 1881148674 | Kimberly Clark Barnes | Nurse Practitioner | 411 Goshen Ln, Ringgold, GA 30736-5924 | 2016-08-09 |
| 1093191678 | Katherine Washington | Nurse Practitioner | 2826 Bienville Hwy, Ringgold, LA 71068 | 2015-08-05 |
| 1992894166 | Cynthia Kay Thornton | Nurse Practitioner | 6553 Highway 41, Ringgold, GA 30736-2641 | 2006-10-12 |
| 1003456815 | Sarah E Steele | Nurse Practitioner | 7494 Battlefield Pkwy, Ringgold, GA 30736-7306 | 2020-01-09 |
| 1912464447 | Melissa Gail Hixson | Nurse Practitioner | 132 Battlefield Crossing Ct, Ringgold, GA 30736-5176 | 2019-02-20 |
| Find all providers in RINGGOLD | ||||
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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.