Individual provider Active NPI

Julia Belcher Clark, FNP-C

  • Family Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1093180473
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN132888 Issued in GA
Practice address
5071 Snapfinger Woods Dr Ste 101
Decatur, GA 30035-4019
Phone
(770) 981-0600
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X RN132888 GA
Family Nurse Practitioner 363LF0000X RN132888 GA Primary

Addresses

Primary practice location

5071 Snapfinger Woods Dr Ste 101
Decatur, GA 30035-4019

Mailing address

5071 Snapfinger Woods Dr
Decatur, GA 30035-4019
Phone (770) 981-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001024 GA Practitioner - Nurse Practitioner 6901100361 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Feb 2, 2021 Accepting new patients
The Allergy & Asthma Center, LLC CurrentSince May 1, 2020 Accepting new patients

Locations

865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089

1755 Parker Rd SE
Ste A120
Conyers, GA 30094
Phone (770) 922-5696

565 Old Norcross Rd
Ste 101
Lawrenceville, GA 30046
Phone (770) 995-5131

565 Old Norcross Rd
Lawrenceville, GA 30046
Phone (770) 962-5040

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1093180473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354019",
            "telephone_number": "770-981-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 SNAPFINGER WOODS DR STE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354019",
            "telephone_number": "770-981-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JULIA",
        "middle_name": "BELCHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "RN132888",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN132888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.