MRS. KAREN T CLUBB (NP) – Family Nurse Practitioner, NPI 1033356712

MRS. KAREN T CLUBB (NP) is a healthcare provider. based in Macon, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN077688 (GA). The NPI Number for MRS. KAREN T CLUBB (NP) is 1033356712

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KAREN T CLUBB (NP)
NPI
1033356712
Phone
(478) 745-4206
Address
3708 NORTHSIDE DR
Enumeration Date
16 January 2009
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787454206
Graduation Year
2011 (15 years ago)
PAC ID
4183898596
Group Practice PAC ID
7911994835
Professional Enrollment ID
I20111122000099
Address ID
GA312102404MA3708XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MRS. KAREN T CLUBB (NP)

  • 3708, Northside Drive, McKibben Lane, Macon, Bibb County, Georgia, 31210, United States

    MACON, GA 312102404

    Phone: (478) 745-4206

    Fax: (478) 254-5463

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Amgen Inc. ($125).

Total Amount

$148

General + Research + Ownership

Payments

2

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (920 days ago).

Enrollment records

1

Earliest due date

2023-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111122000099INurse PractitionerGA2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1040Injection, methylprednisolone acetate, 80 mg284167$0
20610Aspiration and/or injection of fluid from large joint239161$0
99212Established patient office or other outpatient visit, 10-19 minutes166140$0
99213Established patient office or other outpatient visit, 20-29 minutes125111$0
73562X-ray of knee, 3 views11493$0
View full utilization report →

Insurance plans in this area (ZIP 31210)

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Provider's Procedures

MRS. KAREN T CLUBB (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA27447Repair of knee joint3534

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911994835View full group profile
NameSpecialtyState
Orthopedic SurgeryGA
-GA
Physician AssistantGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
Orthopedic Surgery, Sports MedicineGA
Nurse PractitionerGA
Orthopedic SurgeryGA
-GA

Reviews

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Frequently asked questions

How is MRS. KAREN T CLUBB (NP) identified in CMS data?
CMS-hosted NPPES data lists MRS. KAREN T CLUBB (NP) with NPI 1033356712.
Can I rely on MRS. KAREN T CLUBB (NP) being an active provider?
As of the registry snapshot, MRS. KAREN T CLUBB (NP) is marked active.
What is MRS. KAREN T CLUBB (NP) best known for clinically?
Directory data describes MRS. KAREN T CLUBB (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. KAREN T CLUBB (NP) on a map?
Expect Macon, Georgia as a primary anchor for MRS. KAREN T CLUBB (NP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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