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

NPI Status: Active since April 30, 2026

Contact Information

1120 15TH ST
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-0211

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  • Individual
  • Female
  • Pediatrics

About AMANDA CLARK

This page provides the complete NPI Profile along with additional information for Amanda Clark, a pediatrician established in Augusta, Georgia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1275470171 assigned on April 2026. The practitioner's primary taxonomy code is 208000000X with license number 112659 (GA). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1275470171
Provider Name
AMANDA DE CASTRO CLARK MD
Gender
Female
Entity Type
Individual
Location Address
1120 15TH ST AUGUSTA, GA 30912
Location Phone
(706) 721-0211
Mailing Address
470 LAKE SHORE PKWY DAVENPORT, FL 33896
Mailing Phone
(863) 282-0652
Is Sole Proprietor?
No
Enumeration Date
04-30-2026
Last Update Date
04-30-2026
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A pediatrician like Amanda Clark is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
112659
License State
GA
Taxonomy Description
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275470171, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 4 → 8 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 8 + 7 + 0 + 1 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1275470171.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Pharmacist (Pharmacotherapy)
1120 15TH ST, DEPARTMENT OF PHARMACY
AUGUSTA, GA 30912
Orthopaedic Surgery
1120 15TH ST
AUGUSTA, GA 30912
Psychiatry & Neurology (Neurology)
1120 15TH ST, DEPARTMENT OF NEUROLOGY
AUGUSTA, GA 30912
Genetic Counselor, MS
1120 15TH ST, BB7514
AUGUSTA, GA 30912
Emergency Medicine (Emergency Medical Services)
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST, ROOM 2144
AUGUSTA, GA 30912
Dentist (Endodontics)
1120 15TH ST, MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS
AUGUSTA, GA 30912
Pediatrics (Neonatal-Perinatal Medicine)
1120 15TH ST, BIW-6033
AUGUSTA, GA 30912
Otolaryngology
1120 15TH ST
AUGUSTA, GA 30912
Plastic Surgery
1120 15TH ST
AUGUSTA, GA 30912
Orthopaedic Surgery
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912
Psychiatry & Neurology (Psychiatry)
1120 15TH ST
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH ST, RM 2144
AUGUSTA, GA 30912
Specialist
1120 15TH ST
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH ST, RM 2144
AUGUSTA, GA 30912
Psychiatry & Neurology (Neurology)
1120 15TH ST
AUGUSTA, GA 30912
Psychiatry & Neurology (Neurology)
1120 15TH ST
AUGUSTA, GA 30912
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275470171, enumerated as an "individual" on April 30, 2026.

The provider is located at 1120 15TH ST AUGUSTA, GA 30912 and the phone number is (706) 721-0211.

Pediatrics with taxonomy code 208000000X.