NPI age
1 years
Enumerated 2024-09-04
● Active
Type 1 · Individual
Candie Clark
Clark is 1 of 12 durable medical equipment & medical supplies providers in Villa Rica and 1 of 2003 in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
1 years
↓ 12 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-09Enumerated in NPPES
2024
2026
Where they practice
Practice location
1836 Carrollton Villa Rica Hwy Ste 301
Villa Rica, GA 301805195
Mailing address
1836 Carrollton Villa Rica Hwy Ste 301
Villa Rica, GA 301805195
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.