What is Carly Clark's NPI number?

Carly Clark's National Provider Identifier (NPI) is 1083563704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Carly Clark's specialty?

Carly Clark is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Carly Clark located?

Carly Clark's practice location on file with NPPES is 1 Freedom Way, Augusta, GA 30904-6258.

What is Carly Clark's phone number?

The practice phone number listed in the NPPES registry for Carly Clark is (706) 733-0188.

Is Carly Clark's NPI active?

Yes — Carly Clark's NPI (1083563704) is active in the NPPES registry as of the last update on 2026-01-26.

IndividualActive

Carly Clark, RDN

NPI 1083563704 · Registered Dietitian · Augusta, GA

Carly Clark, RDN is a Registered Dietitian provider in Augusta, GA (NPI 1083563704).

Provider details

NPI number: 1083563704
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RDN
Sex: Female
Sole proprietor: No
License: LD007080 (GA)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense LD007080 (GA)
Dietary & Nutritional Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% 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

1 Freedom Way

Augusta, GA 30904-6258

Phone: (706) 733-0188

Street-level locationGet directions

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Mailing address