| Leila Clark, NP | |
|
106 Pearl Dr Ste 106, La Fayette, GA 30728-7510 | |
| (706) 670-1001 | |
| (706) 935-3900 |
| Full Name | Leila Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 106 Pearl Dr Ste 106, La Fayette, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740728690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 60018 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| National Family Medical Associates Of Georgia, Llc | 3870940448 | 13 |
| Entity Name | Weaver Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265895916 PECOS PAC ID: 5799078788 Enrollment ID: O20160728001546 |
| Entity Name | National Family Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477287720 PECOS PAC ID: 7214313345 Enrollment ID: O20230502003427 |
| Entity Name | National Family Medical Associates Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396527321 PECOS PAC ID: 3870940448 Enrollment ID: O20231103002880 |
| Mailing Address | Practice Location Address |
|---|---|
| Leila Clark, NP 121 Justin Dr, La Fayette, GA 30728-6974 Ph: (423) 653-6404 | Leila Clark, NP 106 Pearl Dr Ste 106, La Fayette, GA 30728-7510 Ph: (706) 670-1001 |
Mrs. Trameka Lashun Harris Jones, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Roadrunner Blvd, La Fayette, GA 30728 Phone: 706-638-4662 | |
Jessica Johnson, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 E Villanow St, La Fayette, GA 30728 Phone: 706-638-1606 | |
Shelby Gibson, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4038 E Highway 136, La Fayette, GA 30728 Phone: 706-517-6756 Fax: 706-517-4281 | |
Teresa Ann Novak, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Pearl Dr Ste 107, La Fayette, GA 30728 Phone: 706-400-6707 Fax: 706-400-6491 | |
Mrs. Taylor Elliott, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3824 S Highway 27, La Fayette, GA 30728 Phone: 706-639-9055 | |
Amy Walka, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 102 W Lafayette Sq Ste 209, La Fayette, GA 30728 Phone: 706-670-9818 Fax: 706-236-7700 |