P Praxis·MD
● Active Type 1 · Individual

MRS. Kimberly Nacole Clark, APRN, FNP-BC, NP-C

Nurse Practitioner·Taylorsville, GA· NPI 1588267066 · Enumerated 2020 · 5 years on NPI
Clark is 1 of 1 nurse practitioner providers in Taylorsville and 1 of 8826 in Georgia.
NPI age
5 years
Enumerated 2020-11-18
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-11Enumerated in NPPES
2020 2026

Where they practice

Practice location
48 Hills Creek Rd
Taylorsville, GA 301782051
📞 7706848700
Mailing address
48 Hills Creek Rd
Taylorsville, GA 301782051
📞 7706848700

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN245664 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 5 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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