Mrs Kimberly Nacole Clark, APRN, FNP-BC, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Taylorsville, Georgia. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Floyd Healthcare Management Inc and her current practice location is
48 Hills Creek Rd, Taylorsville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 684-8700.
Mrs Kimberly Nacole Clark is licensed to practice in Georgia (license number RN245664) 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 1588267066.
Provider's Profile
| Full Name | Mrs Kimberly Nacole Clark |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 48 Hills Creek Rd, Taylorsville, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kimberly Nacole Clark graduated from nursing school in 2020
NPI Data:
- NPI Number: 1588267066
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 02/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234543380
- Enrollment ID: I20210201000837
Medical Identifiers
Medical identifiers for Mrs Kimberly Nacole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588267066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN245664 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Floyd Healthcare Management Inc | 5193633386 | 126 |
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. Mrs Kimberly Nacole Clark allows following entities to bill medicare on her behalf.
| Entity Name | Floyd Healthcare Management Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689610149
PECOS PAC ID: 5193633386
Enrollment ID: O20040127000897 |
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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. Mrs Kimberly Nacole 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 Address | Practice Location Address |
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Mrs Kimberly Nacole Clark, APRN, FNP-BC, NP-C
48 Hills Creek Rd,
Taylorsville, GA 30178-2051
Ph: (770) 684-8700 | Mrs Kimberly Nacole Clark, APRN, FNP-BC, NP-C
48 Hills Creek Rd,
Taylorsville, GA 30178-2051
Ph: (770) 684-8700 |
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