Katrina Ransom Clark, PMHNP - Medicare Nurse Practitioner in Milledgeville, GA

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Katrina Ransom Clark, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Milledgeville, Georgia. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Medical Group Of Georgia Llc and her current practice location is 120 Walker Dr Nw, Milledgeville, Georgia. You can reach out to her office (for appointments etc.) via phone at (475) 457-7820.

Katrina Ransom Clark is licensed to practice in Georgia (license number RN150492) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376156364.

Contact Information

Katrina Ransom Clark, PMHNP
120 Walker Dr Nw,
Milledgeville, GA 31061-9561
(475) 457-7820
Not Available

Map and Direction




Provider's Profile

Full NameKatrina Ransom Clark
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location120 Walker Dr Nw, Milledgeville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katrina Ransom Clark graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1376156364
  • Provider Enumeration Date: 08/28/2020
  • Last Update Date: 08/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820409311
  • Enrollment ID: I20201207000373

Medical Identifiers

Medical identifiers for Katrina Ransom Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376156364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN150492 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Of Georgia Llc4284951542411

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katrina Ransom Clark allows following entities to bill medicare on her behalf.
Entity NameAntonio Luis
Entity TypePractitioner - Psychiatry
Entity IdentifiersNPI Number: 1093958050
PECOS PAC ID: 3274548615
Enrollment ID: I20060207000423
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Ransom Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katrina Ransom Clark, PMHNP
120 Walker Dr Nw,
Milledgeville, GA 31061-9561

Ph: (475) 457-7820		Katrina Ransom Clark, PMHNP
120 Walker Dr Nw,
Milledgeville, GA 31061-9561

Ph: (475) 457-7820

Reviews and Comments


Nurse Practitioner Nurses in Milledgeville, GA

Ms. Penny E. Wiggins, NP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2450 Vinson Hwy Se, Milledgeville, GA 31061
Phone: 478-445-7904    Fax: 478-452-8054
Darla Rich, NP
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Practice Location: 231 W Hancock St, Milledgeville, GA 31061
Phone: 478-445-1076    
Julie Sanders,
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Practice Location: 60 Ga Highway 22 W, Blandy Way Office Park, Milledgeville, GA 31061
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Keshana Snead, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 102 Airport Rd Ne, Suite A, Milledgeville, GA 31061
Phone: 478-453-0077    Fax: 478-864-1288
Ms. Anna H Ethridge, NP-C
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Medicare: Medicare Enrolled
Practice Location: 821 N Cobb St, Milledgeville, GA 31061
Phone: 478-454-3969    
Beverly Ann Criss,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Vinson Hwy Se, Milledgeville, GA 31061
Phone: 478-445-8002    
Chelsea Renee Johnston,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 231 W Hancock St, Milledgeville, GA 31061
Phone: 478-951-6725    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.