CHELSEA MARIE CLEVENGER
NPI 1841060084
Nurse Practitioner - Family in Canton, GA

Active since January 08, 2024PECOS EnrolledAccepts Medicare Assignment
3755 SIXES RD STE 300, CANTON, GA 30114(706) 692-9768 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chelsea Marie Clevenger NPPES

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

CHELSEA MARIE CLEVENGER (NPI 1841060084) is an individual family provider in Canton, Georgia, licensed in Georgia (RN271999) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841060084
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSEA MARIE CLEVENGER
Location Address3755 SIXES RD STE 300Canton, GA 30114-7848
Mailing Address113 Victoria StaWoodstock, GA 30189-1468 · (678) 602-9205
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 8, 2024
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1841060084 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 · RN271999
3755 SIXES RD STE 300, Canton, GA 30114

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

Chelsea Marie Clevenger 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 ID6305286493
PECOS Enrollment IDI20260803001934
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 Chelsea Clevenger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
51 GORDON RD, SUITE 201
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group

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 30114 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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
3755 SIXES RD STE 300
CANTON, GA 30114
Nurse Practitioner (Women's Health)
3755 SIXES RD STE 300
CANTON, GA 30114
Nurse Practitioner (Family)
3755 SIXES RD STE 300
CANTON, GA 30114

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 Chelsea Clevenger's NPI number?

The NPI number for Chelsea Clevenger is 1841060084. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Chelsea Clevenger located?

Chelsea Clevenger practices at 3755 Sixes Rd Ste 300, Canton, GA 30114. The listed phone number is (706) 692-9768.

What is Chelsea Clevenger's specialty?

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

Is Chelsea Clevenger enrolled in Medicare?

Yes. Chelsea Clevenger 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 Chelsea Clevenger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsea Clevenger reassigns Medicare benefits to Internal Medicine Associates Of Jasper, PC (Jasper, 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 Chelsea Clevenger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chelsea Clevenger was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.