NPI age
12 years
Enumerated 2014-01-06
● Active
Type 1 · Individual
Kelley Nichola Clark, CRNA
Clark is 1 of 74 nurse anesthetist, certified registered providers in Lawrenceville and 1 of 2157 in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
MD, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-01Enumerated in NPPES
2014
2026
Where they practice
Practice location
1000 Medical Center Blvd
Lawrenceville, GA 300467694
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 300467694
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.
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- 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.