MRS. ASHLEIGH MEGAN CLARK (NPI# 1457749947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457749947 |
| Entity Type | Individual |
| Full Name | MRS. ASHLEIGH MEGAN CLARK |
| Credential | NP-C |
| Practice Address |
100 Piedmont Rd Marietta GA 30066-3636 |
| Mailing Address |
4557 Savage Dr Ne Marietta GA 30066-6913 |
| Practice Telephone | 7707957085 |
| Mailing Telephone | 4049336333 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN216838 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497225825 | Ashleigh Clark | Advanced Practice Midwife | 333 Leawood Ave, Sulphur, LA 70665-7030 | 2018-11-28 |
| 1376055947 | Ashleigh L Clark | Counselor | 11702 Yelm Hwy Se, Olympia, WA 98513-9109 | 2017-11-03 |
| 1811268527 | Ashleigh L Clark | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2012-01-26 |
| Street Address |
100 PIEDMONT RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033271333 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 100 Piedmont Rd, Marietta, GA 30066-3636 | 2006-12-14 |
| 1427576776 | Enika Mcclain | Nurse Practitioner | 100 Piedmont Rd, Marietta, GA 30066 | 2017-09-07 |
| 1376993519 | Modupeola Brisibe | Nurse Practitioner | 100 Piedmont Rd, Marietta, GA 30066-3636 | 2016-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576931 | Dzintra Leblanc | Nurse Practitioner | 2583 Ballew Ct Ne, Marietta, GA 30062-4424 | 2020-10-19 |
| 1730786047 | Monique An-jel Rosser | Nurse Practitioner | 687 Johnson Ferry Rd # 7044, Marietta, GA 30068-4628 | 2020-10-08 |
| 1518564418 | Althea Bryan | Nurse Practitioner | 198 Rotherhithe Ln Nw, Marietta, GA 30066-3491 | 2020-10-04 |
| 1013523646 | Susan Wanjiku Kamau | Nurse Practitioner | 1579 Sage Ridge Dr, Marietta, GA 30064-5327 | 2020-09-18 |
| 1982217402 | Lisa Abbott | Nurse Practitioner | 580 Kurtz Rd, Marietta, GA 30066-5348 | 2020-08-25 |
| 1538796008 | Chinwe Christiana O'hara | Nurse Practitioner | 3079 Hidden Forest Ct Unit 3650, Marietta, GA 30066-3137 | 2020-03-25 |
| 1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
| 1689138935 | Mobile Np, LLC | Nurse Practitioner | 1120 Heather Wood Ct, Marietta, GA 30062-2926 | 2019-01-30 |
| 1790258531 | Leslie Burns | Nurse Practitioner | 2910 Burnt Hickory Rd Nw, Marietta, GA 30064-1238 | 2019-01-04 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| Find all providers in MARIETTA | ||||
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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.