CASEY DANIEL CLARK


Address: 230 Sheraton Blvd, Macon, GA 31210-1358
Phone: 4784742947

CASEY DANIEL CLARK (NPI# 1225542558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225542558
Entity Type Individual
Full Name CASEY DANIEL CLARK
Credential NP
Practice Address 230 Sheraton Blvd
Macon
GA 31210-1358
Practice Telephone 4784742947
Practice Fax Number 4789718149
Mailing Telephone 4784742947
Mailing Fax Number 4789718149
Enumeration Date 2017-11-22
Last Update Date 2017-11-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN214247 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CASEY CLARK

NPI Name Taxonomy Address Enumeration
1841853694 Casey Clark Student in an Organized Health Care Education/Training Program 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 2019-04-17
1174534085 Casey Ryan Clark Nurse Anesthetist, Certified Registered 22234 Kennemer Ln, Athens, AL 35613-8162 2006-08-10
1306340286 Casey Lane Clark Student in an Organized Health Care Education/Training Program 900 S Limestone Ctw 304, Lexington, KY 40536-0001 2018-03-23
1477072809 Casey Morgan Clark Behavior Technician 2101 Arc Dr, St Augustine, FL 32084-0512 2017-09-18
1518308923 Casey Clark Registered Nurse 815 Oberlin Rd, Raleigh, NC 27605-1300 2013-07-13
1184929648 Casey M Clark Physical Therapist 100 Park St, Glens Falls, NY 12801-4413 2011-01-14
1174528871 Casey J. Clark Physical Therapist 2170 S Lamar Blvd, Oxford, MS 38655-5224 2005-06-17

Office Location

Street Address 230 SHERATON BLVD
City MACON
State GA
Zip Code 31210-1358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396141545 Axis Surgery Center LLC Clinic/Center 230 Sheraton Blvd, Ste B, Macon, GA 31210 2014-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743455 Dana Elizabeth Toth Nurse Practitioner 5300 Bowman Rd, Macon, GA 31210 2020-02-25
1871124735 Jessica Bello Nurse Practitioner 5300 Bowman Road, Macon, GA 31210 2020-01-30
1225505787 Rebekah Hollinshead Occupational Therapist Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 2018-11-01
1346744943 Ace Medical Transport LLC. Ambulance 728 Gay Dr, Macon, GA 31210 2018-03-20
1972965226 Omar Faruk Ahmad Family Medicine 3400 Riverside Drvie, Macon, GA 31210 2016-03-25
1083074868 Macon Dentist Office, PC Dentist 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 2016-03-07
1992176952 Kerisia Wasztyl Marriage & Family Therapist 4691 Pine Valley Dr, Macon, GA 31210 2015-10-15
1073905444 Eunice Malave De Leon Social Worker 174 Spring St, Macon, GA 31210 2015-02-23
1073914115 Monique Rechelle Delay Moore Community/Behavioral Health 646 Millrun Court, Macon, GA 31210 2014-09-09
1134568777 John Norman Bowman Sr. Dentist 760 Tufthunter, Macon, GA 31210 2013-06-17
Find all providers in zip 31210

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821604158 Tekeria Gallemore Nurse Practitioner 204 Rockingham Pl, Macon, GA 31217-2615 2020-09-22
1710534839 Tuwanna Yvette Brooks Nurse Practitioner 2685 Cherokee Ave, Macon, GA 31204-3940 2019-08-22
1568019206 Candace W Webb Nurse Practitioner 770 Pine St Ste 310, Macon, GA 31201-7587 2019-08-19
1013579846 Rachel Michelle Applegate Nurse Practitioner 657 Hemlock St Ste 200, Macon, GA 31201-8324 2019-07-02
1447813993 Amelia Angelica Harpe Mills Nurse Practitioner 3300 N Ingle Pl Apt 6e, Macon, GA 31210-2529 2019-04-19
1922563287 Vanessa Lott Nurse Practitioner 107 William Way, Macon, GA 31216-6160 2019-01-31
1649771155 Tory Kirsten Etheridge Nurse Practitioner 688 Walnut St Ste 200, Macon, GA 31201-0333 2018-02-21
1003324112 Jared L Jarrett Np, LLC Nurse Practitioner 770 Pine St Ste 560, Macon, GA 31201-7569 2018-01-11
1699281360 Charneika C Brown Nurse Practitioner 639 Hemlock St Ste 100, Macon, GA 31201-6889 2017-12-18
1821512393 Bridgette Rebecca Harrison Nurse Practitioner 193 John Michael Drive, Macon, GA 31211 2017-07-27
Find all providers in MACON

Competitor

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City MACON
Zip Code 31210

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Dataset Information

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.

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