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

TELISHA NIKETIA CLARK
NPI 1659281608
Nurse Practitioner - Family in Fayetteville, GA

Q: What is Telisha Clark's NPI number?

The NPI number for Telisha Clark is 1659281608. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Q: What is Telisha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Telisha Clark was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 10, 2026

475 HILO RD, FAYETTEVILLE, GA 30215(678) 778-1224 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Telisha Niketia Clark NPPES

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

TELISHA NIKETIA CLARK (NPI 1659281608) is an individual family provider in Fayetteville, Georgia, licensed in Georgia (APRN-NP312405) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1659281608

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTELISHA NIKETIA CLARK

Location Address475 HILO RDFayetteville, GA 30215-2101

Mailing Address475 Hilo RdFayetteville, GA 30215-2101 · (678) 778-1224

Phone(678) 778-1224

Sole ProprietorYes

Enumeration DateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1659281608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP312405

475 HILO RD, Fayetteville, GA 30215

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Telisha Clark's NPI number?

The NPI number for Telisha Clark is 1659281608. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Telisha Clark located?

Telisha Clark practices at 475 Hilo Rd, Fayetteville, GA 30215. The listed phone number is (678) 778-1224.

What is Telisha Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Telisha Clark was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.