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GEORGIA CLARK-ALBERT MS RD LD CDE
NPI 1740510759
Dietitian, Registered in Bangor, ME

Active since January 14, 2010Accepts Medicare Assignment
900 BROADWAY, BLDG 1, BANGOR, ME 04401(207) 907-1187(207) 907-1189 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Georgia Clark-albert Ms Rd Ld Cde NPPES

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

GEORGIA CLARK-ALBERT MS RD LD CDE (NPI 1740510759) is an individual dietitian, registered in Bangor, Maine, licensed in Maine (DI426) and active in the NPI registry since January 2010. She is a graduate of Other (1991).

NPPES Registry Identity

NPI1740510759
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGEORGIA CLARK-ALBERTCredential: MS RD LD CDE
Location Address900 BROADWAY, BLDG 1Bangor, ME 04401-1900
Mailing AddressPo Box 934Bangor, ME 04402-0934 · (207) 907-1187 · Fax (207) 907-1189
Phone(207) 907-1187
Fax(207) 907-1189
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 14, 2010
Last NPPES UpdateJuly 28, 2010
✔ NPI 1740510759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ME · DI426
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
900 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 2

Medicare PINCL MT0437ME
Other710000822ME · Railroad Medicare Program

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Georgia Clark-albert Ms Rd Ld Cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890723126
PECOS Enrollment IDI20251218002088

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HAILEY E BLACKWOOD FNPC
Nurse Practitioner
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
JOSHUA JAMES DUCHENE DO
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3777
MARILYN L MICHAUD FNP
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
ILSA ANNETTA SHULMAN MD
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
RODRIGO ROXAS MD
Family Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3777
KERRY RIKER M. D.
Internal Medicine
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
ZACHARY MITCHELL GREENIER PA
Physician Assistant
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300
MRS. ADRIENNE MIRANDA EWER FNP
Nurse Practitioner (Family)
900 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3300

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 Georgia Clark-albert's NPI number?

The NPI number for Georgia Clark-albert is 1740510759. It was assigned to this individual provider in the NPPES registry on January 14, 2010.

Where is Georgia Clark-albert located?

Georgia Clark-albert practices at 900 Broadway Bldg 1, Bangor, ME 04401. The listed phone number is (207) 907-1187.

What is Georgia Clark-albert's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Georgia Clark-albert enrolled in Medicare?

Yes. Georgia Clark-albert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Georgia Clark-albert was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.