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CARLY VIRGINIA CLARK
NPI 1578403390
Student in an Organized Health Care Education/Training Program in Savannah, GA

Active since March 31, 2026
5353 REYNOLDS ST, SAVANNAH, GA 31405(470) 389-6576 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Carly Virginia Clark NPPES

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

CARLY VIRGINIA CLARK (NPI 1578403390) is an individual student in an organized health care education/training program in Savannah, Georgia, licensed in Georgia (390200000X) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1578403390
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY VIRGINIA CLARK
Location Address5353 REYNOLDS STSavannah, GA 31405-6015
Mailing Address85 Bellasera WayRichmond Hill, GA 31324-7826 · (470) 389-6576
Phone(470) 389-6576
Sole ProprietorYes
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1578403390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5353 REYNOLDS ST, Savannah, GA 31405
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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.

GLENDA LAINE ELOGE NP
Nurse Practitioner (Obstetrics & Gynecology)
5353 REYNOLDS ST, STE 300
SAVANNAH, GA 31405
Chatham County (912) 355-6005
VICTORIA MORGAN THOMAS MS, RD, LD
Dietitian, Registered
5353 REYNOLDS ST
SAVANNAH, GA 31405
Chatham County (912) 819-8844
JOSHUA R KOHL CRNA
Nurse Anesthetist, Certified Registered
5353 REYNOLDS ST
SAVANNAH, GA 31405
Chatham County (912) 355-7214
DR. TYLER JOHN WILDES MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
5353 REYNOLDS ST
SAVANNAH, GA 31405
Chatham County (800) 288-8325
LAUREN VICTORIA JOHNSON M.ED., CCC-SLP
Speech-Language Pathologist
5353 REYNOLDS ST
SAVANNAH, GA 31405
Chatham County (912) 819-6431
MELINDA ROSZKOWIAK FNP
Nurse Practitioner (Family)
5353 REYNOLDS ST, SUITE 201
SAVANNAH, GA 31405
Chatham County (912) 355-5755
NICOLE MARIE TETRO CAA
Anesthesiology
5353 REYNOLDS ST
SAVANNAH, GA 31405
Chatham County (912) 819-6000
ADVANCED PEDIATRIC SPECIALISTS LLC
Pediatrics
5353 REYNOLDS ST
SAVANNAH, GA 31405
Chatham County (912) 819-6000

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 Carly Clark's NPI number?

The NPI number for Carly Clark is 1578403390. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Carly Clark located?

Carly Clark practices at 5353 Reynolds St, Savannah, GA 31405. The listed phone number is (470) 389-6576.

What is Carly Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Carly Clark was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.