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AMANDA DE CASTRO CLARK MD
NPI 1275470171
Pediatrics in Augusta, GA

Active since April 30, 2026
1120 15TH ST, AUGUSTA, GA 30912(706) 721-0211 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda De Castro Clark Md NPPES

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

AMANDA DE CASTRO CLARK MD (NPI 1275470171) is an individual pediatrics provider in Augusta, Georgia, licensed in Georgia (112659) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1275470171
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA DE CASTRO CLARKCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address470 Lake Shore PkwyDavenport, FL 33896-7861 · (863) 282-0652
Phone(706) 721-0211
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1275470171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 112659
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1120 15TH ST, Augusta, GA 30912
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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.

DR. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1275470171. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Amanda Clark located?

Amanda Clark practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-0211.

What is Amanda Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.