1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Nurse Practitioner
  6. NPI Profile

CAROLYN KAY CLEVENGER N.P.
NPI 1255547907
Nurse Practitioner - Gerontology in Atlanta, GA

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
12 EXECUTIVE PARK DR NE, SUITE 504, ATLANTA, GA 30329(404) 778-3444 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolyn Kay Clevenger N.p. NPPES

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

CAROLYN KAY CLEVENGER N.P. (NPI 1255547907) is an individual gerontology provider in Atlanta, Georgia, licensed in Georgia (RN153941) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2002).

NPPES Registry Identity

NPI1255547907
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCAROLYN KAY CLEVENGERCredential: N.P.
Location Address12 EXECUTIVE PARK DR NE, SUITE 504Atlanta, GA 30329-2206
Mailing Address1152 Albemarle WayLawrenceville, GA 30044-8142 · (770) 339-5806 · Fax (770) 339-5806
Phone(404) 778-3444
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateMay 16, 2007
Last NPPES UpdateJune 16, 2015
✔ NPI 1255547907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · RN153941
12 EXECUTIVE PARK DR NE, Atlanta, GA 30329
Open in Google Maps ↗

Other Names 1

Former Name (1)Carolyn Kay Satterfield R.n.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Kay Clevenger N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557462264
PECOS Enrollment IDI20070725000437
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
24 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services16 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
21 services12 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PEARL VICTORIA RYDER M.D., PH.D.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
CHRISTI N ACKER DPT, PT
Physical Therapist (Neurology)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-7777
ORLA MCQUADE FNP-C
Nurse Practitioner (Family)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444
MEGAN LEIGH GOODLIN LCSW
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (850) 591-6066
PETER ASH MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE, CHILD PSYCHIATRY, SUITE 200
ATLANTA, GA 30329
Dekalb County (404) 727-3973
KELSEY R SPRANG JONES PSYD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (859) 433-5348
BRANDI ANNE BURKE M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
ROCIO CAROLINA GARCIA SANTIBANEZ M.D.
Psychiatry & Neurology (Neuromuscular Medicine)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444

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 Carolyn Clevenger's NPI number?

The NPI number for Carolyn Clevenger is 1255547907. It was assigned to this individual provider in the NPPES registry on May 16, 2007. The provider is also known as Carolyn Kay Satterfield R.N..

Where is Carolyn Clevenger located?

Carolyn Clevenger practices at 12 Executive Park Dr NE Suite 504, Atlanta, GA 30329. The listed phone number is (404) 778-3444.

What is Carolyn Clevenger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Carolyn Clevenger enrolled in Medicare?

Yes. Carolyn Clevenger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Carolyn Clevenger was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.