MRS. CARLA BETH CLARK RD, LD, RN
NPI 1073892832
Dietitian, Registered in Sandersville, GA

Active since August 11, 2011
610 SPARTA RD, SANDERSVILLE, GA 31082(478) 240-2181(478) 240-2020 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carla Beth Clark Rd, Ld, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARLA BETH CLARK RD, LD, RN (NPI 1073892832) is an individual dietitian, registered in Sandersville, Georgia, licensed in Georgia (LD002458) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1073892832
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. CARLA BETH CLARKCredential: RD, LD, RN
Location Address610 SPARTA RDSandersville, GA 31082-1860
Mailing AddressPo Box 636Sandersville, GA 31082-0636 · (478) 240-2181 · Fax (478) 240-2020
Fax(478) 240-2020
Sole ProprietorYes
Enumeration DateAugust 11, 2011
NPI 1073892832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in GA · LD002458
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN207257 (GA)
610 SPARTA RD, Sandersville, GA 31082

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
610 SPARTA RD
SANDERSVILLE, GA 31082
Speech-Language Pathologist
610 SPARTA RD, POST OFFICE BOX 636
SANDERSVILLE, GA 31082
Speech-Language Pathologist
610 SPARTA RD
SANDERSVILLE, GA 31082
Specialist
610 SPARTA RD
SANDERSVILLE, GA 31082
Specialist
610 SPARTA RD
SANDERSVILLE, GA 31082
Family Medicine
610 SPARTA RD
SANDERSVILLE, GA 31082
Skilled Nursing Facility
610 SPARTA RD
SANDERSVILLE, GA 31082
Occupational Therapist
610 SPARTA RD
SANDERSVILLE, GA 31082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Clark's NPI number?

The NPI number for Carla Clark is 1073892832. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Carla Clark located?

Carla Clark practices at 610 Sparta Rd, Sandersville, GA 31082. The listed phone number is (478) 240-2181.

What is Carla Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Carla Clark was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.