CHARLI HICKS CLEMENTS
NPI 1467082214
Nurse Practitioner - Family in Loganville, GA

Active since January 21, 2020PECOS EnrolledAccepts Medicare Assignment
367 ATHENS HWY STE 650, LOGANVILLE, GA 30052(706) 389-8941(706) 389-8942 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 8, 2026, Jan 24, 2020 (2 updates tracked since 2020).

About Charli Hicks Clements NPPES

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

CHARLI HICKS CLEMENTS (NPI 1467082214) is an individual family provider in Loganville, Georgia, licensed in Georgia (RN238981) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Morgan Medical Center, and maintains a secondary practice location in Watkinsville.

NPPES Registry Identity

NPI1467082214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARLI HICKS CLEMENTS
Location Address367 ATHENS HWY STE 650Loganville, GA 30052-7980
Mailing Address1100 Wanda CtMonroe, GA 30655-8354
Fax(706) 389-8942
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 21, 2020
Last NPPES UpdateMay 8, 20262 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
NPI 1467082214 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 · RN238981
367 ATHENS HWY STE 650, Loganville, GA 30052

Secondary Practice Location 1

Location 11470 CAAP Drive, Building 100 Suite 101Watkinsville, GA 30677 · Phone (706) 389-8941 · Fax (706) 389-8942

Accepted Insurance

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

Charli Hicks Clements 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 ID1557783115
PECOS Enrollment IDI20200627000201
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morgan Medical Center

Critical Access Hospitals · Madison, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111304
Location1740 Lions Club RoadMadison, GA 30650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30052 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.

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 Charli Clements's NPI number?

The NPI number for Charli Clements is 1467082214. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Charli Clements located?

Charli Clements practices at 367 Athens Hwy Ste 650, Loganville, GA 30052. The listed phone number is (706) 389-8941.

What is Charli Clements's specialty?

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

Is Charli Clements enrolled in Medicare?

Yes. Charli Clements 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.

What insurance does Charli Clements accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Charli Clements as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charli Clements affiliated with any hospitals?

According to CMS data, Charli Clements is affiliated with Morgan Medical Center.

When was this NPI record last updated?

The NPPES record for Charli Clements was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.