ZACHARY ALLEN CLEVENGER (AGACNP) – Acute Care Nurse Practitioner, NPI 1275588071

ZACHARY ALLEN CLEVENGER (AGACNP) is a healthcare provider. based in Kennesaw, Georgia. specializing in Acute Care Nurse Practitioner. They hold the professional credentials AGACNP. They hold a License No. APRN-NP153940 (GA). The NPI Number for ZACHARY ALLEN CLEVENGER (AGACNP) is 1275588071

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY ALLEN CLEVENGER (AGACNP)
NPI
1275588071
Phone
(404) 364-7089
Address
750 TOWNPARK LN NW
Enumeration Date
23 May 2006
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
8022029487
Group Practice PAC ID
4183848062
Professional Enrollment ID
I20060523000016

Contacts

Secure Messaging
zclevenger29997@nghs.gadirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:20State licenses:1Other names

Provider Addresses for ZACHARY ALLEN CLEVENGER (AGACNP)

  • 750 TOWNPARK LN NW

    KENNESAW, GA 301445579

    Phone: (404) 364-7089

    Fax: (404) 364-4984

    Type: Mailing

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 1400, River Place, Braselton, Hall County, Georgia, 30517, United States

    BRASELTON, GA 305175600

    Phone: (770) 534-2020

    Fax: (770) 534-8025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,575.

Total Amount is formed as General ($1,575) + Research ($0) + Ownership ($0) = $1,575.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Boston Scientific Corporation ($369).

Total Amount

$1,575

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,575

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

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: 2006-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1009 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20060523000016INurse PractitionerGA2023-08-31

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
33285Insertion of heart rhythm monitor under skin1616$0
View full utilization report →

Insurance plans in this area (ZIP 30144)

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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: 4183848062View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
-GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA
Physician AssistantGA
Cardiac ElectrophysiologyGA
Cardiovascular Disease (Cardiology)GA
Physician AssistantGA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to ZACHARY ALLEN CLEVENGER (AGACNP)?
The federal identifier for ZACHARY ALLEN CLEVENGER (AGACNP) is NPI 1275588071.
Is ZACHARY ALLEN CLEVENGER (AGACNP)'s NPI currently valid?
The extract we use shows ZACHARY ALLEN CLEVENGER (AGACNP) as active.
Does ZACHARY ALLEN CLEVENGER (AGACNP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for ZACHARY ALLEN CLEVENGER (AGACNP). Clinical services aligned with this taxonomy classification.
What location shows for ZACHARY ALLEN CLEVENGER (AGACNP)?
We surface Kennesaw, Georgia for ZACHARY ALLEN CLEVENGER (AGACNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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