NPI age
20 years
Enumerated 2005-06-29
● Active
Type 1 · Individual
Mark D Clark, FNP
Clark is 1 of 77 nurse practitioner providers in Gainesville and 1 of 950 in Georgia.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-05
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
3
In the 36% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Practice location
102 Barrett St
Gainesville, GA 305011356
Mailing address
102 Barrett St
Gainesville, GA 305011356
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1240 Jesse Jewell Pkwy Se
Gainesville, GA 305013862
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
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Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1738523 | WELLCARE |
| 01 (GA) | 06423272 | AMERIGROUP |
| 05 (GA) | 615230572C | |
| 05 (GA) | 615230572E | |
| 05 (GA) | 615230572F | |
| 05 (GA) | 615230572D |
Practice context
Solo or small practice. No 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.