CLAUDIA CLARKE NP
NPI 1649687997
Nurse Practitioner - Family in Marietta, GA

Active since July 18, 2014PECOS EnrolledAccepts Medicare Assignment
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060(770) 424-6893 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claudia Clarke Np NPPES

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

CLAUDIA CLARKE NP (NPI 1649687997) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN174978) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and maintains a secondary practice location in Macon.

NPPES Registry Identity

NPI1649687997
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAUDIA CLARKECredential: NP
Location Address55 WHITCHER ST NE STE 350Marietta, GA 30060-1129
Mailing Address55 Whitcher St Ne Ste 350Marietta, GA 30060-1129 · (770) 424-6893
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 18, 2014
Last NPPES UpdateApril 12, 2021
NPPES CertifiedApril 12, 2021
NPI 1649687997 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 · RN174978
55 WHITCHER ST NE STE 350, Marietta, GA 30060

Secondary Practice Location 1

Location 1427 Bob White RdMacon, GA 31216-7373 · Phone (561) 542-0569

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

Claudia Clarke Np 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 ID5799007829
PECOS Enrollment IDI20141201001024
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.

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%300 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060
Nurse Practitioner
55 WHITCHER ST NE STE 350
MARIETTA, GA 30060

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 Claudia Clarke's NPI number?

The NPI number for Claudia Clarke is 1649687997. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Where is Claudia Clarke located?

Claudia Clarke practices at 55 Whitcher St NE Ste 350, Marietta, GA 30060. The listed phone number is (770) 424-6893.

What is Claudia Clarke's specialty?

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

Is Claudia Clarke enrolled in Medicare?

Yes. Claudia Clarke 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 Claudia Clarke accept?

Health plans from Alliant Health Plans, Inc. list Claudia Clarke 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 Claudia Clarke affiliated with any hospitals?

According to CMS data, Claudia Clarke is affiliated with Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Claudia Clarke was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.