P Praxis·MD
● Active Type 1 · Individual

Jessica Lane Clark, PMHNP

Nurse Practitioner·Athens, GA· NPI 1093387664 · Enumerated 2021 · 4 years on NPI
Clark is 1 of 28 nurse practitioner providers in Athens and 1 of 1622 in Georgia.
NPI age
4 years
Enumerated 2021-07-13
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
745 S Milledge Ave Ste 1a
Athens, GA 306051292
📞 7064989560fax 7064989568
Mailing address
745 S Milledge Ave Ste 1a
Athens, GA 306051292
📞 7064989560fax 7064989568

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP222359 taxonomy 363LP0808X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN222359 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Athens in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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