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CYNTHIA JILL MARTIN CLARK FNP-C
NPI 1164899787
Nurse Practitioner - Family in Wrightsville, GA

Active since August 31, 2015PECOS Enrolled
2160 W ELM ST, WRIGHTSVILLE, GA 31096(478) 864-3446(478) 864-1288 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2023, May 20, 2019 (2 updates tracked since 2019).

About Cynthia Jill Martin Clark Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA JILL MARTIN CLARK FNP-C (NPI 1164899787) is an individual family provider in Wrightsville, Georgia, licensed in Georgia (RN129251) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1164899787
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCYNTHIA JILL MARTIN CLARKCredential: FNP-C
Location Address2160 W ELM STWrightsville, GA 31096-2014
Mailing Address667 S Main StSwainsboro, GA 30401-4818 · (478) 237-7798
Phone(478) 864-3446
Fax(478) 864-1288
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 31, 2015
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1164899787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN129251
2160 W ELM ST, Wrightsville, GA 31096
Open in Google Maps ↗

Other Identifiers 1

OtherRN129251GA · Georgia License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Jill Martin Clark Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618269135
PECOS Enrollment IDI20160701000878
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
125 services30 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
73 services25 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COMMUNITY HEALTH CARE SYSTEMS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2160 W ELM ST
WRIGHTSVILLE, GA 31096
Johnson County (478) 864-3446
MELISSA CHERYL KILGORE FNP-C
Nurse Practitioner (Family)
2160 W ELM ST
WRIGHTSVILLE, GA 31096
Johnson County (478) 864-2600

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 Cynthia Clark's NPI number?

The NPI number for Cynthia Clark is 1164899787. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Cynthia Clark located?

Cynthia Clark practices at 2160 W Elm St, Wrightsville, GA 31096. The listed phone number is (478) 864-3446.

What is Cynthia Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cynthia Clark enrolled in Medicare?

Yes. Cynthia Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Clark was last updated on July 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.