Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JANAE ALISE CLARK APRN
NPI 1760076053
Nurse Practitioner - Gerontology in Dalton, GA

Q: What is Janae Clark's NPI number?

The NPI number for Janae Clark is 1760076053. It was assigned to this individual provider in the NPPES registry on February 26, 2021. The provider is also known as Janae Alise Herzog.

Q: What is Janae Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Janae Clark was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since February 26, 2021PECOS Enrolled

1107 MEMORIAL DR STE 100, DALTON, GA 30720(706) 529-3072(706) 529-3077 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2026, Aug 20, 2026, Jul 8, 2021 and 1 more (4 updates tracked since 2021).

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About Janae Alise Clark Aprn NPPES

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

JANAE ALISE CLARK APRN (NPI 1760076053) is an individual gerontology provider in Dalton, Georgia, licensed in Georgia (APRN-NP719288) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760076053

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJANAE ALISE CLARKCredential: APRN

Location Address1107 MEMORIAL DR STE 100Dalton, GA 30720-8662

Mailing Address1107 Memorial Dr Ste 100Dalton, GA 30720-8662 · (706) 529-3072 · Fax (706) 529-3077

Phone(706) 529-3072

Fax(706) 529-3077

Sole ProprietorNo

Enumeration DateFebruary 26, 2021

Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1760076053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in GA · APRN-NP719288✔ Licensed in GA · GAA-NP004633

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN11011659 (FL)

1107 MEMORIAL DR STE 100, Dalton, GA 30720

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Other Names 1

Former Name (1)Janae Alise Herzog

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janae Alise Clark Aprn 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.

Medicare Billing Reassignments

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

Hamilton Physician Group Inc

Same address

Cardiovascular Disease

1107 MEMORIAL DR STE 302
Dalton, GA 30720

Reassigned Medicare billing, Georgia enrollment
178 clinicians in this Medicare group

NPI 1235455569 (706) 529-6015

Pi: Prevention And Intervention Wound Care And Dermatological Services

489 mi

Nursing Care

10420 MCKINLEY DR APT 9312
Tampa, FL 33612

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1396313110 (813) 340-5499

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 30720 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers12 claims12 services$15.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UMAMA ADIL MD

Internal Medicine (Pulmonary Disease)