CAROLYN KAY CLEVENGER (NPI# 1255547907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255547907 |
Entity Type | Individual |
Full Name | CAROLYN KAY CLEVENGER |
Other Name | CAROLYN KAY SATTERFIELD |
Credential | N.P. |
Practice Address |
12 Executive Park Dr Ne Suite 504 Atlanta GA 30329-2206 |
Mailing Address |
1152 Albemarle Way Lawrenceville GA 30044-8142 |
Practice Telephone | 4047783444 |
Mailing Telephone | 7703395806 |
Mailing Fax Number | 7703395806 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2015-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN153941 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12 EXECUTIVE PARK DR NE SUITE 504 |
City | ATLANTA |
State | GA |
Zip Code | 30329-2206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053379669 | Peter Ash | Psychiatry & Neurology | 12 Executive Park Dr Ne, Child Psychiatry, Suite 200, Atlanta, GA 30329-2206 | 2006-05-03 |
1114546017 | Joya N Hampton-anderson | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-10 |
1922627116 | Justin Trop | Psychiatry & Neurology | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-09 |
1043852460 | Megan Leigh Goodlin | Social Worker | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-10-17 |
1134772056 | Kathleen Dickens Colsson | Nurse Practitioner | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-07-19 |
1174185763 | Anastacia A. Nichols | Clinical Neuropsychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-07-03 |
1053975268 | Kelsey R Sprang Jones | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-04-24 |
1114581436 | Danielle Nichole Wray | Social Worker | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-04-23 |
1326500356 | Philip Thomas Bowers | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-03-31 |
1740749209 | Mary Coyle | Nurse Practitioner | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2019-03-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
Find all providers in zip 30329 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063053478 | Emily Elizabeth Adams | Nurse Practitioner | 887 W Marietta St Nw, Atlanta, GA 30318-5252 | 2019-10-07 |
1316461221 | Thera Donaldson | Nurse Practitioner | 550 Peachtree St Ne Fl St7, Atlanta, GA 30308-2247 | 2017-08-01 |
1083010961 | Shelley-ann Beaubrun | Nurse Practitioner | 1017 Fayetteville Rd Se Ste A, Atlanta, GA 30316-2932 | 2014-11-05 |
1063853133 | Tammy Felicia Blackmon | Nurse Practitioner | 270 17th St Nw Unit 2501, Atlanta, GA 30363-1218 | 2013-07-17 |
1629415880 | Gina Kim | Nurse Practitioner | 5673 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30342-1775 | 2013-05-29 |
1750559837 | Phyllis Powell Wright | Nurse Practitioner | 3037 Loridan Way Se, Atlanta, GA 30339-5710 | 2008-02-12 |
1710036686 | Amy D Imes | Nurse Practitioner | 1155 Perimeter Ctr Fl 11, Atlanta, GA 30338-5463 | 2007-01-09 |
1821106733 | Holly Lynne Brown | Nurse Practitioner | 925 Garrett St Se, Suite 313, Atlanta, GA 30316-6826 | 2006-08-29 |
1700496981 | Debra Beckum | Nurse Practitioner | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2020-08-03 |
1356803357 | Racheal Sowole | Nurse Practitioner | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-04-01 |
Find all providers in ATLANTA |
Please comment or provide details below to improve the information on CAROLYN KAY CLEVENGER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.