SOMMER CLARK (NPI# 1932598174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932598174 |
| Entity Type | Individual |
| Full Name | SOMMER CLARK |
| Credential | CPNP |
| Practice Address |
460 Mall Blvd Savannah GA 31406-4801 |
| Practice Telephone | 9123543400 |
| Practice Fax Number | 9123030665 |
| Mailing Telephone | 9123543400 |
| Mailing Fax Number | 9123030665 |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN194331 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336382282 | Sommer C Clark | Nurse Practitioner | 3411 Graystone Pl Se, Conover, NC 28613-8200 | 2009-04-08 |
| Street Address |
460 MALL BLVD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811052467 | Ramon Ramos | Specialist | 460 Mall Blvd, Savannah, GA 31406-4801 | 2006-12-26 |
| 1932686565 | Patricia Leann Fernandez | Nurse Practitioner | 460 Mall Blvd, Savannah, GA 31406-4801 | 2018-07-26 |
| 1548764111 | Jane Adair Camacho Robertson | Nurse Practitioner | 460 Mall Blvd, Savannah, GA 31406-4801 | 2018-03-20 |
| 1083059513 | Morganne M Weeks | Physician Assistant | 460 Mall Blvd, Savannah, GA 31406-4801 | 2013-05-10 |
| 1831460302 | Julie Ann Craig | Nurse Practitioner | 460 Mall Blvd, Savannah, GA 31406-4801 | 2012-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1043316417 | Patricia Fall | Nurse Practitioner | 322 Commercial Dr, Ste 2, Savannah, GA 31406-3639 | 2006-09-15 |
| 1063058667 | Abby Elizabeth Smith | Nurse Practitioner | 765 Florence Rd, Savannah, TN 38372-3451 | 2019-11-19 |
| 1417319682 | Rachel Naomi Schwartz | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2016-03-25 |
| 1225411846 | Julianne Shelley Temple | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2015-07-01 |
| 1083004345 | Carisa Elmore | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2015-01-26 |
| 1689077372 | Jennifer L. David | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2014-10-08 |
| 1073946737 | Kathleen Laird Brown | Nurse Practitioner | 2 Wheeler St, Savannah, GA 31405-5700 | 2013-08-16 |
| 1558638098 | Amber Stewart Andrews | Nurse Practitioner | 4700 Waters Ave, Savannah, GA 31404-6220 | 2011-11-29 |
| 1801174404 | Kathryn Bauk Campbell | Nurse Practitioner | 2 Wheeler St, Savannah, GA 31405-5700 | 2011-07-30 |
| Find all providers in SAVANNAH | ||||
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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.