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KATRINA RANSOM CLARK PMHNP
NPI 1376156364
Nurse Practitioner - Psychiatric/Mental Health in Milledgeville, GA

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
120 WALKER DR NW, MILLEDGEVILLE, GA 31061(475) 457-7820 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katrina Ransom Clark Pmhnp NPPES

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

KATRINA RANSOM CLARK PMHNP (NPI 1376156364) is an individual psychiatric/mental health provider in Milledgeville, Georgia, licensed in Georgia (RN150492) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1376156364
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATRINA RANSOM CLARKCredential: PMHNP
Location Address120 WALKER DR NWMilledgeville, GA 31061-9561
Mailing Address120 Walker Dr NwMilledgeville, GA 31061-9561 · (475) 457-7820
Phone(475) 457-7820
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1376156364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN150492
120 WALKER DR NW, Milledgeville, GA 31061
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katrina Ransom Clark Pmhnp 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 ID8820409311
PECOS Enrollment IDI20201207000373
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katrina Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
4.7 mi
Psychiatry
1013 FERNWOOD DR, STE B
Milledgeville, GA 31061
  • Reassigned Medicare billing, Georgia enrollment
NPI 1093958050 (478) 251-6924
Privia Medical Group Of Georgia LLC
71 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31061 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.

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 Katrina Clark's NPI number?

The NPI number for Katrina Clark is 1376156364. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Katrina Clark located?

Katrina Clark practices at 120 Walker Dr NW, Milledgeville, GA 31061. The listed phone number is (475) 457-7820.

What is Katrina Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Katrina Clark enrolled in Medicare?

Yes. Katrina Clark 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.

Which organizations bill Medicare for Katrina Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Clark reassigns Medicare benefits to 2 organizations: (Milledgeville, GA) and Privia Medical Group Of Georgia LLC (Fayetteville, GA). 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 Katrina 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 Katrina Clark was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.