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Active NPI 1710562129 Individual Practitioner Female Practitioner

Ursula Lori Clark

Contractor • Lake Park, GA

Professional Overview & Biography Verified Profile Summary

Ursula Clark is a registered healthcare professional specializing in Contractor in Lake Park, GA. Practice services are available at 4700 ROLLING PINE DR APT D25 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Rolling Pine Dr Apt D25

Lake Park, GA 316364935

Telephone 3058776401

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Lake Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Lake Park, GA (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-17
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active March 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2021

Registered at 4700 ROLLING PINE DR APT D25, LAKE PARK, GA 316364935 (Tel: 3058776401)

📍
Updated Business Mailing Address March 17, 2021

Registered at 4700 ROLLING PINE DR APT D25, LAKE PARK, GA 316364935 (Tel: 3058776401)

👤
Provider Name / Credentials Updated March 17, 2021

Recorded as URSULA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2021

Contractor

🟢
Initial NPI Registration & Enumeration March 17, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710562129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2021
Last Update: March 17, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4700 Rolling Pine Dr Apt D25

Lake Park, GA 316364935

Phone: 3058776401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.