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MYMIE T CLINTON NP
NPI 1881625598
Nurse Practitioner in Vidalia, GA

Active since July 05, 2006
118 ALICE COLEMAN DR, VIDALIA, GA 30474(912) 537-6565(912) 537-6161 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mymie T Clinton Np NPPES

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

MYMIE T CLINTON NP (NPI 1881625598) is an individual nurse practitioner in Vidalia, Georgia, licensed in Georgia (RN040042) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1881625598
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMYMIE T CLINTONCredential: NP
Location Address118 ALICE COLEMAN DRVidalia, GA 30474-8860
Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (912) 537-6565 · Fax (912) 537-6161
Phone(912) 537-6565
Fax(912) 537-6161
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 30, 2012
✔ NPI 1881625598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN040042
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN040042 (GA)
118 ALICE COLEMAN DR, Vidalia, GA 30474
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Other Identifiers 4

Medicaid339898116DGA
Medicare UPINQ59822GA
Other000632376LGA · Fqhc Medicaid
Medicare OSCAR/certification111921GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. ADAM JOSEPH COBB DMD
Dentist
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (478) 237-2638
MRS. ALICIA MONAE BAKER-WARING FNP
Nurse Practitioner (Family)
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565
EAST GEORGIA HEALTHCARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565
LORENE DAVIS FNP-BC
Nurse Practitioner (Family)
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565
DR. ASHLEY MAKALA DMD
Dentist
118 ALICE COLEMAN DR
VIDALIA, GA 30474
Toombs County (912) 537-6565

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 Mymie Clinton's NPI number?

The NPI number for Mymie Clinton is 1881625598. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mymie Clinton located?

Mymie Clinton practices at 118 Alice Coleman Dr, Vidalia, GA 30474. The listed phone number is (912) 537-6565.

What is Mymie Clinton's specialty?

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

What insurance does Mymie Clinton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mymie Clinton 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 Mymie Clinton was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.