IndividualActive
Keyondra Clark, BSN RN
NPI 1053145581 · In Home Supportive Care Agency · Cordele, GA
Keyondra Clark, BSN RN is a In Home Supportive Care Agency provider in Cordele, GA (NPI 1053145581).
Provider details
- NPI number
- 1053145581
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Credential
- BSN RN
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
411 W 24th Ave
Cordele, GA 31015-3941
Phone: (229) 699-2020
Street-level locationGet directions
Mailing address
102 Carson Dr
Cordele, GA 31015-6776
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-28
- Certified
- 2024-08-27
Frequently asked questions
- What is Keyondra Clark's NPI number?
- Keyondra Clark's National Provider Identifier (NPI) is 1053145581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keyondra Clark's specialty?
- Keyondra Clark is listed in the NPPES registry with a primary specialty of In Home Supportive Care Agency (Agencies).
- Where is Keyondra Clark located?
- Keyondra Clark's practice location on file with NPPES is 411 W 24th Ave, Cordele, GA 31015-3941.
- What is Keyondra Clark's phone number?
- The practice phone number listed in the NPPES registry for Keyondra Clark is (229) 699-2020.
- Is Keyondra Clark's NPI active?
- Yes — Keyondra Clark's NPI (1053145581) is active in the NPPES registry as of the last update on 2024-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.