REBECCA A CLARK P.A.
NPI 1922067859
Physician Assistant in Pearson, GA

Q: What is Rebecca Clark's NPI number?

The NPI number for Rebecca Clark is 1922067859. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Rebecca Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Clark was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 20, 2006

664 N MAIN ST, PEARSON, GA 31642(912) 422-3131(912) 422-3180 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rebecca A Clark P.a. NPPES

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

REBECCA A CLARK P.A. (NPI 1922067859) is an individual physician assistant in Pearson, Georgia, licensed in Georgia (001270) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1922067859

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameREBECCA A CLARKCredential: P.A.

Location Address664 N MAIN STPearson, GA 31642

Mailing Address406 W 5th StOcilla, GA 31774-1421 · (229) 468-9166 · Fax (229) 468-9188

Phone(912) 422-3131

Fax(912) 422-3180

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateNovember 3, 2014

✔ NPI 1922067859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in GA · 001270

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

664 N MAIN ST, Pearson, GA 31642

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Other Identifiers 3

Medicaid100000746BGA

Medicare UPINS50165

Medicare ID-Type Unspecified97WCGNM

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 Rebecca Clark's NPI number?

The NPI number for Rebecca Clark is 1922067859. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Rebecca Clark located?

Rebecca Clark practices at 664 N Main St, Pearson, GA 31642. The listed phone number is (912) 422-3131.

What is Rebecca Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Rebecca Clark was last updated on November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.