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MRS. MICHELLE KIPP CLARK APRN
NPI 1922767508
Nurse Practitioner - Family in Augusta, GA

Active since December 11, 2021
950 15TH ST, AUGUSTA, GA 30901(706) 733-0188 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 31, 2025, Dec 11, 2021 (2 updates tracked since 2021).

About Mrs. Michelle Kipp Clark Aprn NPPES

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

MRS. MICHELLE KIPP CLARK APRN (NPI 1922767508) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN220021) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1922767508
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICHELLE KIPP CLARKCredential: APRN
Location Address950 15TH STAugusta, GA 30901-2608
Mailing Address3885 Grape AveAugusta, GA 30909-9574 · (706) 951-7051
Phone(706) 733-0188
Sole ProprietorNo
Enumeration DateDecember 11, 2021
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1922767508 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 · RN220021
950 15TH ST, Augusta, GA 30901
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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.

MRS. MELISSA SUE WILLIAMS PT
Physical Therapist
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
DANIELL S RUTH RN
Registered Nurse
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
JAMES R RUBOW
Registered Nurse
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
ALEXIS CONSTANCE PETERS DPM
Student in an Organized Health Care Education/Training Program
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
DR. GARGY DINESH AGNIHOTRY DPM
Student in an Organized Health Care Education/Training Program
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
DANNIE DALE GODBEE PT
Physical Therapist (Orthopedic)
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
MARY ELIZABETH COWARD CTRS
Recreation Therapist
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188
MELANIE SIV PHARM.D.
Pharmacist
950 15TH ST
AUGUSTA, GA 30901
Richmond County (706) 733-0188

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 Michelle Clark's NPI number?

The NPI number for Michelle Clark is 1922767508. It was assigned to this individual provider in the NPPES registry on December 11, 2021.

Where is Michelle Clark located?

Michelle Clark practices at 950 15th St, Augusta, GA 30901. The listed phone number is (706) 733-0188.

What is Michelle 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 Michelle Clark was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.