Taylor Victoria Clark

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN292411 Issued in GA

Practice address

PO Box 8158
Statesboro, GA 30460-2000

Phone

(912) 344-2973

NPI assigned

Jun 16, 2025

Sex

Female

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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1104712025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8158",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304602000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 8158",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304602000",
            "telephone_number": "912-344-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TAYLOR",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN292411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Chappell Clark, R.PH
• Iris Kalin Clark, M.D.
• Michael Ryan Clark, PHARMD
• Shantera Clark, FNP-C
• Skyler Clark
• Shelly Clary, FNP-BC
• Heather Cleary, LPC
• Clemons Family Practice, Inc.
• Amy Dawn Clemons, M.D.
• Kimberly Clemons, FNP-BC

• All providers in Statesboro, GA
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.