P Praxis·MD
● Active Type 1 · Individual

Zachary Allen Clevenger, AGACNP

Nurse Practitioner·Kennesaw, GA· NPI 1275588071 · Enumerated 2006 · 20 years on NPI
Clevenger is 1 of 2 nurse practitioner providers in Kennesaw and 1 of 950 in Georgia.
NPI age
20 years
Enumerated 2006-05-23
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
20 years
↑ 14 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
2
In the 36% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
750 Townpark Ln Nw
Kennesaw, GA 301445579
📞 4043647080fax 4043644984
Mailing address
750 Townpark Ln Nw
Kennesaw, GA 301445579
📞 4043647089fax 4043644984

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP153940 taxonomy 363LA2100X
  • Nurse Practitioner
    Definition to come...
    GA license #APRN-NP153940 taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    GA license #APRN-NP153940 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 61 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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