P Praxis·MD
● Active Type 1 · Individual

Carolyn Kay Clevenger, N.P.

Nurse Practitioner·Atlanta, GA· NPI 1255547907 · Enumerated 2007 · 19 years on NPI
Clevenger is 1 of 37 nurse practitioner providers in Atlanta and 1 of 280 in Georgia.
NPI age
19 years
Enumerated 2007-05-16
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-06-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 280 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
12 Executive Park Dr Ne, Suite 504
Atlanta, GA 303292206
📞 4047783444
Mailing address
1152 Albemarle Way
Lawrenceville, GA 300448142
📞 7703395806fax 7703395806

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN153941 taxonomy 363LG0600X

Practice context

Part of a multi-provider practice. 101 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Atlanta 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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