Garrett West Clark

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-318726 Issued in GA

Practice address

2614 Murray Hill Rd
Sardis, GA 30456-2332

Phone

(478) 272-1190

NPI assigned

Mar 24, 2026

Last updated

Mar 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1003754771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 MURRAY HILL RD",
            "city": "SARDIS",
            "state": "GA",
            "postal_code": "304562332",
            "telephone_number": "478-272-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 MURRAY HILL RD",
            "city": "SARDIS",
            "state": "GA",
            "postal_code": "304562332",
            "telephone_number": "478-272-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GARRETT",
        "middle_name": "WEST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-23-318726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briar Creek Family Care
• Tonya Brown, LPC
• Jenkins County Hospital, LLC (Optim Primary Care - Sardis)
• Jean Morris, LPC
• Ronny J Sayers MD PC (Sardis Medical Center)
• Robin R Shellito, PA-C
• Tri-County Rural Health Services

• Behavior Technician in Sardis, GA
• Providers in Sardis, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.