CLAYTON STATE UNIVERSITY – Family Nurse Practitioner, NPI 1659758985

CLAYTON STATE UNIVERSITY is a healthcare provider. based in Morrow, Georgia. specializing in Family Nurse Practitioner. The NPI Number for CLAYTON STATE UNIVERSITY is 1659758985

Main info

Organization
Name
CLAYTON STATE UNIVERSITY
NPI
1659758985
Phone
(678) 466-5590
Address
5809 NORTHLAKE DRIVE
Authorized Official
BETTY SUSAN LANE CHAIR NURSING RN, PH.D., FNP-C
Enumeration Date
6 May 2015
Last Update Date
4 December 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

Provider Addresses for CLAYTON STATE UNIVERSITY

  • 5809 NORTHLAKE DRIVE

    BLDG 1000

    MORROW, GA 30260

    Phone: (678) 466-5590

    Fax: (678) 466-4999

    Type: Location

  • 2000 CLAYTON STATE BLVD

    MORROW, GA 30260

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30260)

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Reviews

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Frequently asked questions

Can I cross-check CLAYTON STATE UNIVERSITY using NPI 1659758985?
NPI 1659758985 belongs to CLAYTON STATE UNIVERSITY; compare other details if you need extra assurance.
Would CLAYTON STATE UNIVERSITY appear as active to a payer?
You can treat CLAYTON STATE UNIVERSITY as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CLAYTON STATE UNIVERSITY?
CLAYTON STATE UNIVERSITY is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is CLAYTON STATE UNIVERSITY located near Morrow?
CLAYTON STATE UNIVERSITY currently maps to Morrow, Georgia in this extract.
When was this NPI issued?
Enumeration for CLAYTON STATE UNIVERSITY is noted as May 6, 2015 where the registry provides it.

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