MRS. GRACE CLARK AGPCNP-B
NPI 1780030734
Nurse Practitioner - Adult Health in Austell, GA

Active since May 09, 2016PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106(770) 948-5578 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2019, May 9, 2016 (2 updates tracked since 2016).

About Mrs. Grace Clark Agpcnp-b NPPES

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

MRS. GRACE CLARK AGPCNP-B (NPI 1780030734) is an individual adult health provider in Austell, Georgia, licensed in Georgia (RN 243044) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780030734
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. GRACE CLARKCredential: AGPCNP-B
Location Address3825 MEDICAL PARK DR, SUITE 100Austell, GA 30106-6831
Mailing Address3825 Medical Park Dr, Suite 100Austell, GA 30106-6831 · (770) 948-5578
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 9, 2016
Last NPPES UpdateJanuary 3, 20192 updates tracked since enumeration
NPI 1780030734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN 243044
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN243044 (GA)
3825 MEDICAL PARK DR, Austell, GA 30106

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

Mrs. Grace Clark Agpcnp-b 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 ID7416240494
PECOS Enrollment IDI20160728001192
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
333 services175 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
79 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services31 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
23 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers16 claims220 services$18.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers16 claims588 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
60 suppliers159 claims580 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
25 suppliers49 claims97 services$1.14 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers21 claims21 services$310.48 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers328 claims328 services$192.86 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 16

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

Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE100
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine (Gastroenterology)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106

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 Grace Clark's NPI number?

The NPI number for Grace Clark is 1780030734. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Grace Clark located?

Grace Clark practices at 3825 Medical Park Dr Suite 100, Austell, GA 30106. The listed phone number is (770) 948-5578.

What is Grace Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Grace Clark enrolled in Medicare?

Yes. Grace 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.

What insurance does Grace Clark accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Grace Clark 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.

When was this NPI record last updated?

The NPPES record for Grace Clark was last updated on January 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.