Clark Family Care LLC
NPI 1114594389 · Primary Care Clinic/Center · Sylvania, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clark Family Care LLC is a Primary Care Clinic/Center organization in Sylvania, GA (NPI 1114594389).
Provider details
- NPI number
- 1114594389
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kendall Clark, Fnp-C(912) 451-4100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES 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
Mailing address
Other names (DBA / former)
- Doing business as
- Clark Family Care
- Doing business as
- Clark Family Care
Registry dates
- Enumerated
- 2021-06-07
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Frequently asked questions
- What is Clark Family Care LLC's NPI number?
- Clark Family Care LLC's National Provider Identifier (NPI) is 1114594389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Family Care LLC?
- Clark Family Care LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Clark Family Care LLC located?
- Clark Family Care LLC's practice location on file with NPPES is 715 W Ogeechee St, Sylvania, GA 30467-8693.
- What is Clark Family Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Clark Family Care LLC is (912) 451-4100.
- Does Clark Family Care LLC accept Medicare?
- Clark Family Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clark Family Care LLC?
- The authorized official listed on Clark Family Care LLC's NPPES record is Kendall Clark, Fnp-C. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Family Care LLC's NPI active?
- Yes — Clark Family Care LLC's NPI (1114594389) is active in the NPPES registry as of the last update on 2023-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.