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CLAYTON STATE UNIVERSITY
NPI 1659758985
Nurse Practitioner - Family in Morrow, GA

Active since May 06, 2015
5809 NORTHLAKE DRIVE, BLDG 1000, MORROW, GA 30260(678) 466-5590(678) 466-4999 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clayton State University NPPES

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

CLAYTON STATE UNIVERSITY (NPI 1659758985) is a healthcare organization registered as a family in Morrow, Georgia and active in the NPI registry since May 2015. The organization lists Betty Susan Lane, Chair Nursing, as its authorized official.

NPPES Registry Identity

NPI1659758985
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLAYTON STATE UNIVERSITY
Location Address5809 NORTHLAKE DRIVE, BLDG 1000Morrow, GA 30260
Mailing Address2000 Clayton State BlvdMorrow, GA 30260
Phone(678) 466-5590
Fax(678) 466-4999
Organization SubpartNo
Authorized OfficialBetty Susan LaneChair Nursing · (678) 466-4953
Enumeration DateMay 6, 2015
Last NPPES UpdateDecember 4, 2015
✔ NPI 1659758985 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
5809 NORTHLAKE DRIVE, Morrow, GA 30260
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Clayton State University's NPI number?

The NPI number for Clayton State University is 1659758985. It was assigned to this organization in the NPPES registry on May 6, 2015.

Where is Clayton State University located?

Clayton State University is located at 5809 Northlake Drive Bldg 1000, Morrow, GA 30260. The listed phone number is (678) 466-5590.

What is Clayton State University's specialty?

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

When was this NPI record last updated?

The NPPES record for Clayton State University was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.