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

MRS. KENDALL CLARK FNP-C
NPI 1821489337
Nurse Practitioner - Family in Sylvania, GA

Active since February 05, 2015PECOS Enrolled
715 W OGEECHEE ST, SYLVANIA, GA 30467(912) 451-4100(912) 451-4105 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 1, 2023, Jan 24, 2022, Sep 10, 2020 and 2 more (5 updates tracked since 2016).

About Mrs. Kendall Clark Fnp-c NPPES

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

MRS. KENDALL CLARK FNP-C (NPI 1821489337) is an individual family provider in Sylvania, Georgia, licensed in Georgia (APRN-FNP209683) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821489337
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KENDALL CLARKCredential: FNP-C
Location Address715 W OGEECHEE STSylvania, GA 30467-8693
Mailing Address715 W Ogeechee StSylvania, GA 30467-8693 · (912) 451-4100 · Fax (912) 531-7465
Phone(912) 451-4100
Fax(912) 451-4105
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 5, 2015
Last NPPES UpdateOctober 20, 20265 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1821489337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-FNP209683
Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN-FNP209683 (GA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN-FNP209683 (GA)
715 W OGEECHEE ST, Sylvania, GA 30467
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kendall Clark Fnp-c 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 ID3678882339
PECOS Enrollment IDI20151020000676
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 Reassignment

Medicare enrollment records show Kendall Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clark Family Care LLC
Same address
Primary Care
715 W OGEECHEE ST
Sylvania, GA 30467
  • Reassigned Medicare billing, Georgia enrollment
NPI 1114594389 (912) 451-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
188 services82 patients
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.
124 services62 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
111 services61 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
48 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services14 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
29 services22 patients

Hospital Affiliations CMS Care Compare 2

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

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Optim Medical Center - Screven

Critical Access Hospitals · Sylvania, GA
OwnershipProprietary
CMS Certification Number111312
Location215 Mims RoadSylvania, GA 30467 · Screven County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30467 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.

Other Providers at the Same Location NPPES

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

CLARK FAMILY CARE LLC
Clinic/Center (Primary Care)
715 W OGEECHEE ST
SYLVANIA, GA 30467
Screven County (912) 451-4100

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 Kendall Clark's NPI number?

The NPI number for Kendall Clark is 1821489337. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Where is Kendall Clark located?

Kendall Clark practices at 715 W Ogeechee St, Sylvania, GA 30467. The listed phone number is (912) 451-4100.

What is Kendall Clark's specialty?

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

Is Kendall Clark enrolled in Medicare?

Yes. Kendall 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.

Which organization bills Medicare for Kendall Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Clark reassigns Medicare benefits to Clark Family Care LLC (Sylvania, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kendall Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendall Clark accept?

Health plans from Oscar Health list Kendall 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.

Is Kendall Clark affiliated with any hospitals?

According to CMS data, Kendall Clark is affiliated with East Georgia Regional Medical Center and Optim Medical Center - Screven.

When was this NPI record last updated?

The NPPES record for Kendall Clark was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.