CYNTHIA JILL MARTIN CLARK (FNP-C) – Family Nurse Practitioner, NPI 1164899787
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for CYNTHIA JILL MARTIN CLARK (FNP-C)
2251 W ELM ST
P O BOX 371
WRIGHTSVILLE, GA 310962017
Phone: (478) 864-3448
Fax: (478) 864-1288
Type: Mailing
667 S MAIN ST
SWAINSBORO, GA 304014818
Phone: (478) 237-7798
Type: Mailing
2160 W ELM ST
WRIGHTSVILLE, GA 310962014
Phone: (478) 864-3446
Fax: (478) 864-1288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160701000878 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 134 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 48 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 31 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 31096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | NC |
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