Shamira Malik Clark, PCT

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

10714 Abercorn St Apt 17D
Apt. 17D
Savannah, GA 31419-1426

Phone

(912) 596-4312

NPI assigned

Oct 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1275887150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60423",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314200423",
            "telephone_number": "912-596-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 ABERCORN ST APT 17D",
            "address_2": "APT. 17D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191426",
            "telephone_number": "912-596-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHAMIRA",
        "middle_name": "MALIK",
        "name_prefix": "Ms.",
        "credential": "PCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric B Clark Jr., DC,CCMA
• Jarlexia Clark, RBT
• Lisa Landers Clark, LPC
• Maya R Clark, CCC-SLP
• Rebecca Clark
• Zinobia S Clark
• Eleanor Clarke
• Juliane S Claxton, CCC-SLP
• Lasonna Roeshone Claxton
• Sarah Katherine Clay, LPC

• Home Health Aide in Savannah, GA
• Providers in Savannah, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.