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NICHOLAS BENJAMIN CLEMMONS
NPI 1881357127
Nurse Practitioner in Athens, GA

Active since October 13, 2021PECOS EnrolledAccepts Medicare Assignment
818 TABBY LN, ATHENS, GA 30605(229) 449-4524 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Benjamin Clemmons NPPES

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

NICHOLAS BENJAMIN CLEMMONS (NPI 1881357127) is an individual nurse practitioner in Athens, Georgia, licensed in Georgia (RN227788) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Wills Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881357127
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLAS BENJAMIN CLEMMONS
Location Address818 TABBY LNAthens, GA 30605-7058
Mailing Address818 Tabby LnAthens, GA 30605-7058
Phone(229) 449-4524
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1881357127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN227788
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
818 TABBY LN, Athens, GA 30605
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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

Nicholas Benjamin Clemmons 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 ID7810386190
PECOS Enrollment IDI20211108000096
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
82 services76 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
80 services70 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
41 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Wills Memorial Hospital

Critical Access Hospitals · Washington, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111325
Location120 Gordon StreetWashington, GA 30673 · Wilkes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30605 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.

SARAH CLEMMONS
Social Worker (Clinical)
818 TABBY LN
ATHENS, GA 30605
Clarke County (706) 614-0480

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 Nicholas Clemmons's NPI number?

The NPI number for Nicholas Clemmons is 1881357127. It was assigned to this individual provider in the NPPES registry on October 13, 2021.

Where is Nicholas Clemmons located?

Nicholas Clemmons practices at 818 Tabby Ln, Athens, GA 30605. The listed phone number is (229) 449-4524.

What is Nicholas Clemmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicholas Clemmons enrolled in Medicare?

Yes. Nicholas Clemmons 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.

Is Nicholas Clemmons affiliated with any hospitals?

According to CMS data, Nicholas Clemmons is affiliated with Wills Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Clemmons was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.