P Praxis·MD
● Active Type 1 · Individual

Edna Michelle Clark, LPN

Licensed Practical Nurse·Hinesville, GA· NPI 1114918158 · Enumerated 2005 · 20 years on NPI
Clark is 1 of 11 licensed practical nurse providers in Hinesville and 1 of 1344 in Georgia.
NPI age
20 years
Enumerated 2005-10-31
Primary specialty
Licensed Practical Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
635 Slade St
Hinesville, GA 313133941
📞 9123682107
Mailing address
635 Slade St
Hinesville, GA 313133941
📞 9123682107

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    GA license #LPN047051 taxonomy 164W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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