Clark Health Services LLC
Organization Active NPI Primary Care Clinic/Center · La Fayette, GA
NPI 1073484879 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1073484879
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CLARK HEALTH SERVICES LLC
- Practice address
- 106 Pearl Dr Ste 106
La Fayette, GA 30728-7510 - Phone
- (423) 653-6404
- NPI assigned
- Sep 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Leila Clark, FNP-C
- Title
- Owner/President
- Phone
- (423) 653-6404
Practitioners 1
-
Leila Clark, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2333761 | Harmony Health Primary Care | Certificate of waiver | Nov 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251226000017 | GA | Part B Supplier - Clinic/Group Practice | 9032605225 |
Receives reassigned benefits from 1 practitioner Practice locations: Lafayette, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
106 Pearl Dr Ste 106
La Fayette, GA 30728-7510
Mailing address
121 Justin Dr
La Fayette, GA 30728-6974
Phone (423) 653-6404
Other names
- Harmony Health Primary Care
Other providers in La Fayette, GA
- John Ross Brown
- Kim Cameron
- Careatc
- Sarah Carson
- Abdul Chowdhury
- Leila Clark
- Consistent Care Family Practice
- Countryside Hospice Care Inc
- Gwendolyn Abe De Leon
- Amanda Francis Deal
All providers in La Fayette, GA · Primary Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.