LEILA CLARK (NP) – Family Nurse Practitioner, NPI 1740728690
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
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Provider Addresses for LEILA CLARK (NP)
PO BOX 181
RINGGOLD, GA 307360181
Phone: (706) 935-3600
Fax: (706) 935-3900
Type: Mailing
Price Ringgold Drug, 7566, Nashville Street, Ringgold, Catoosa County, Georgia, 30736, United States
RINGGOLD, GA 307362361
Phone: (706) 935-3600
Fax: (706) 935-3900
Type: Location
121 JUSTIN DR
LA FAYETTE, GA 307286974
Phone: (423) 653-6404
Type: Mailing
106 PEARL DR STE 106
LA FAYETTE, GA 307287510
Phone: (706) 670-1001
Fax: (706) 935-3900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,060.
Total Amount is formed as General ($1,060) + Research ($0) + Ownership ($0) = $1,060.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($402).
Total Amount
$1,060
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,060
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $402 |
| Inari Medical, Inc. | $189 |
| GlaxoSmithKline, LLC. | $146 |
| Otsuka America Pharmaceutical, Inc. | $115 |
| Novo Nordisk Inc | $97 |
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: 2017-03-24
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 |
|---|---|---|---|---|
| I20170324002043 | 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 | 160 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 71 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 101 | 51 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 100 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 33 | $0 |
Insurance plans in this area (ZIP 30736)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Internal Medicine | VA | |
| Family Practice | GA | |
| Orthopedic Surgery | IL | |
| - | NC | |
| - | TX | |
| Internal Medicine | MA | |
| Family Practice | OR | |
| Nurse Practitioner | WA | |
| Internal Medicine | MA |
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