MS. BARBARA R. CLARK APRN FNP-BC
NPI 1114058203
Nurse Practitioner - Family in Jonesboro, GA
About Ms. Barbara R. Clark Aprn Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BARBARA R. CLARK APRN FNP-BC (NPI 1114058203) is an individual family provider in Jonesboro, Georgia, licensed in Georgia (RN128161) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hampton.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Barbara R. Clark Aprn Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Barbara Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Davie, FL 33330
- Reassigned Medicare billing, Florida enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Barbara Clark's NPI number?
The NPI number for Barbara Clark is 1114058203. It was assigned to this individual provider in the NPPES registry on March 8, 2007. The provider is also known as Mrs. Barbara R Jenkins.
Where is Barbara Clark located?
Barbara Clark practices at 962 Forest Gln, Jonesboro, GA 30238. The listed phone number is (770) 231-8568.
What is Barbara Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Barbara Clark enrolled in Medicare?
Yes. Barbara Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Barbara Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Clark reassigns Medicare benefits to 2 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA) and Carbon Health Medical Group Of Florida PA (Davie, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barbara Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Barbara Clark was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Barbara R. Clark, APRN FNP-BC · NPI 1114058203
Family physician in Jonesboro, Georgia. Individual provider, active in the CMS NPPES registry since March 8, 2007.
## Identity
- **NPI:** 1114058203 (Entity type: Individual)
- **Enumerated:** March 8, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN128161 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 962 FOREST GLN, Jonesboro, GA 30238-8829
- **Phone:** (770) 231-8568 · **Fax:** (678) 489-2348
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Carbon Health Medical Group Of Florida PA (NPI 1942812763, Davie, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2019
- **Other identifiers:** Other RN128161 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114058203) · Data from the CMS NPPES public registry.