Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leila Clark, NP

Individual provider Family Nurse Practitioner · NPI 1740728690

Leila Clark, NP is a Nurse Practitioner in LA Fayette, Georgia. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

106 Pearl Dr Ste 106
LA Fayette, GA 30728-7510
Phone: (706) 670-1001
Fax: (706) 935-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 60018 (GA)

Record details

NPI number1740728690
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 10, 2017
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address121 Justin Dr, La Fayette, GA 30728-6974

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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