REBECCA A CLARK (NPI# 1922067859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922067859 |
| Entity Type | Individual |
| Full Name | REBECCA A CLARK |
| Credential | P.A. |
| Practice Address |
664 N Main St Pearson GA 31642 |
| Mailing Address |
406 W 5th St Ocilla GA 31774-1421 |
| Practice Telephone | 9124223131 |
| Practice Fax Number | 9124223180 |
| Mailing Telephone | 2294689166 |
| Mailing Fax Number | 2294689188 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001270 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000746B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978833 | Rebecca Clark | Massage Therapist | 244 Madison Ave # 391, New York, NY 10016-2817 | 2020-09-30 |
| 1184130759 | Rebecca Lee Clark | Registered Nurse | 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 | 2017-12-19 |
| 1144761099 | Rebecca Clark | Counselor | 24401 W 39th St S, Goddard, KS 67052-8713 | 2017-03-11 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1861557563 | Rebecca Clark | Respite Care | 2703 S 37th Dr, Yuma, AZ 85364-5983 | 2006-12-25 |
| 1831112671 | Rebecca Jand Clark | Counselor | 1501 San Pedro Se (116), Albuquerque, NM 87108 | 2006-07-25 |
| 1124004700 | Rebecca Elizabeth Clark | Nurse Practitioner | 1811 State St, Nashville, TN 37203-2205 | 2005-12-15 |
| 1841811098 | Rebecca L Clark | Behavior Technician | 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 | 2020-04-29 |
| 1073149167 | Rebecca Maria Clark | Genetic Counselor, MS | Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 | 2020-03-20 |
| 1891346466 | Rebecca Mae Clark | Pharmacist | 5804 1st Ave S, Birmingham, AL 35212-2524 | 2019-09-25 |
| Street Address |
664 N MAIN ST |
| City | PEARSON |
| State | GA |
| Zip Code | 31642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528201936 | Asf Medical Center Inc | Emergency Medicine | 640 Main St North, Pearson, GA 31642 | 2009-04-15 |
| 1063657617 | Beverly Dianne Robertson | Registered Nurse | 636 A E. Austin Ave, Pearson, GA 31642 | 2008-12-11 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1750443263 | Atkinson County Board of Education | Registered Nurse | 98 East Roberts Ave., Pearson, GA 31642 | 2006-12-14 |
| 1578632931 | Boones Pharmacy, Inc. | Pharmacist | 37 Albany Ave E, Pearson, GA 31642 | 2006-11-07 |
| 1558445742 | South Central Primary Care Center, Inc. | Clinic/Center | 640 Main St N, Pearson, GA 31642 | 2006-10-24 |
| 1518062199 | Stephen Marcel Burt | General Practice | 1111 Highway 441 North, Pearson, GA 31642 | 2006-09-14 |
| 1962483867 | Ware Visiting Nurses Service, Inc | Home Health | 380 East Roberts St, Pearson, GA 31642 | 2005-11-08 |
| 1760862346 | Amanda Carver Merritt | Nurse Practitioner | 640 Main St N, Pearson, GA 31642 | 2015-06-09 |
| Find all providers in zip 31642 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.