Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DIALISA CLARK
NPI 1134044613
Nurse Practitioner - Psychiatric/Mental Health in Albany, GA

Q: What is Dialisa Clark's NPI number?

The NPI number for Dialisa Clark is 1134044613. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Q: What is Dialisa Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Dialisa Clark was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since August 12, 2026

205 OLEANDER RD, ALBANY, GA 31705(229) 364-7396 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dialisa Clark NPPES

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

DIALISA CLARK (NPI 1134044613) is an individual psychiatric/mental health provider in Albany, Georgia, licensed in Georgia (2026041430) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1134044613

Entity TypeIndividual

Primary Taxonomy363LP0808X

Provider Legal NameDIALISA CLARK

Location Address205 OLEANDER RDAlbany, GA 31705-4613

Mailing Address205 Oleander RdAlbany, GA 31705-4613 · (229) 364-7396

Phone(229) 364-7396

Sole ProprietorYes

Enumeration DateAugust 12, 2026

NPPES CertifiedAugust 12, 2026

✔ NPI 1134044613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · 2026041430

205 OLEANDER RD, Albany, GA 31705

Open in Google Maps ↗

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 Dialisa Clark's NPI number?

The NPI number for Dialisa Clark is 1134044613. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Dialisa Clark located?

Dialisa Clark practices at 205 Oleander Rd, Albany, GA 31705. The listed phone number is (229) 364-7396.

What is Dialisa Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Dialisa Clark was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.