P Praxis·MD
● Active Type 1 · Individual

Catherine Lynn Clark, NP-C

Nurse Practitioner·Kennesaw, GA· NPI 1396226114 · Enumerated 2018 · 7 years on NPI
Clark is 1 of 83 nurse practitioner providers in Kennesaw and 1 of 8826 in Georgia.
NPI age
7 years
Enumerated 2018-08-29
Primary specialty
Nurse Practitioner
Plus 5 subspecialties
Licensed in
GA, NC, SC, NJ, VA, WV
6 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
State licenses
6 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
2782 N Cobb Pkwy
Kennesaw, GA 301523472
📞 8663892727
Mailing address
2782 N Cobb Pkwy
Kennesaw, GA 301523472

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1039 Grant St Se Ste D12
Atlanta, GA 303152014
📞 6787365248fax 4076358971

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #227661NC license #5022918SC license #31423NJ license #26NJ15518900VA license #0024194712WV license #124763 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 39 other active providers share this practice address in NPPES.

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