ZACHARY ALLEN CLEVENGER AGACNP
NPI 1275588071
Nurse Practitioner - Acute Care in Kennesaw, GA

Q: What is Zachary Clevenger's NPI number?

The NPI number for Zachary Clevenger is 1275588071. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Zachary Clevenger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Clevenger was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2006PECOS Enrolled

78.35/100

CMS Quality Rating

750 TOWNPARK LN NW, KENNESAW, GA 30144(404) 364-7080(404) 364-4984 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2024, Oct 6, 2020, Feb 5, 2020 and 2 more (5 updates tracked since 2018).

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About Zachary Allen Clevenger Agacnp NPPES

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

ZACHARY ALLEN CLEVENGER AGACNP (NPI 1275588071) is an individual acute care provider in Kennesaw, Georgia, licensed in Georgia (APRN-NP153940) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275588071

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameZACHARY ALLEN CLEVENGERCredential: AGACNP

Location Address750 TOWNPARK LN NWKennesaw, GA 30144-5579

Mailing Address750 Townpark Ln NwKennesaw, GA 30144-5579 · (404) 364-7089 · Fax (404) 364-4984

Phone(404) 364-7080

Fax(404) 364-4984

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateOctober 14, 20255 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1275588071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · APRN-NP153940

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN-NP153940 (GA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN-NP153940 (GA)

750 TOWNPARK LN NW, Kennesaw, GA 30144

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Allen Clevenger Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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.

78.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.17

Promoting Interoperability

Improvement Activities

Cost

60.82

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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.

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