P Praxis·MD
● Active Type 2 · Organization

Clayton State University

Nurse Practitioner·Morrow, GA· NPI 1659758985 · Enumerated 2015 · 11 years on NPI
Clayton State University is 1 of 8826 nurse practitioner organizations in Georgia.
NPI age
11 years
Enumerated 2015-05-06
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lane
Chair Nursing
Last NPPES update
2015-12-04
Source: monthly bulk 2026-05

How this organization compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-05Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
5809 Northlake Drive, Bldg 1000
Morrow, GA 30260
📞 6784665590fax 6784664999
Mailing address
2000 Clayton State Blvd
Morrow, GA 30260

Authorized official

Betty Susan Lane, RN, PH.D., FNP-C
Chair Nursing
📞 6784664953

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LF0000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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