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SAMERICA JACKSON-CLARK
NPI 1639066319
Public Health or Welfare in Stockbridge, GA

Active since June 23, 2025
6077 N HENRY BLVD, STOCKBRIDGE, GA 30281(404) 441-3627 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samerica Jackson-clark NPPES

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

SAMERICA JACKSON-CLARK (NPI 1639066319) is an individual public health or welfare provider in Stockbridge, Georgia and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1639066319
Entity TypeIndividualFemale
Primary Taxonomy251K00000X
Provider Legal NameSAMERICA JACKSON-CLARK
Location Address6077 N HENRY BLVDStockbridge, GA 30281-3041
Mailing Address6077 N Henry BlvdStockbridge, GA 30281-3041 · (404) 441-3627
Phone(404) 441-3627
Sole ProprietorYes
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1639066319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
6077 N HENRY BLVD, Stockbridge, GA 30281
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Other Providers at the Same Location NPPES

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

JLA3 SERVICES LLC
Clinical Medical Laboratory
6077 N HENRY BLVD
STOCKBRIDGE, GA 30281
Henry County (404) 441-3627

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 Samerica Jackson-clark's NPI number?

The NPI number for Samerica Jackson-clark is 1639066319. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Samerica Jackson-clark located?

Samerica Jackson-clark practices at 6077 N Henry Blvd, Stockbridge, GA 30281. The listed phone number is (404) 441-3627.

What is Samerica Jackson-clark's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Samerica Jackson-clark was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.