Barbara R. Clark, APRN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN128161 Issued in GA

Practice address

962 Forest GLN
Jonesboro, GA 30238-8829

Phone

(770) 231-8568

Fax

(678) 489-2348

NPI assigned

Mar 8, 2007

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Barbara R Jenkins Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1942812763
  Medicare reassignment NPD
• BRC Medhealth LLC

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1750120945
  NPD Authorized official
• Dubois Integrity Academy

  • School Registered Nurse
  • Riverdale, GA
  • NPI 1518792332
  NPD Authorized official
• BRC Medhealth

  • Primary Care Clinic/Center
  • Jonesboro, GA
  • NPI 1689222747
  Authorized official Same address or phone
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• First Assisting Solutions Inc

  dba Lovejoy Clinic

  • Clinic/Center
  • Hampton, GA
  • NPI 1619237054
  NPD (past)
• Lovejoy Family Practice Inc.

  • Clinic/Center
  • Hampton, GA
  • NPI 1053725184
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1114058203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 FOREST GLN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388829",
            "telephone_number": "770-231-8568",
            "fax_number": "678-489-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 FOREST GLN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388829",
            "telephone_number": "770-231-8568",
            "fax_number": "678-489-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1883 McDonough Rd",
            "address_2": "Suite 200D",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "GA",
            "postal_code": "302283516",
            "country_code": "US",
            "telephone_number": "678-545-6775",
            "fax_number": "678-545-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BARBARA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN128161",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "GA",
            "license": "RN128161",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN128161",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.officeally.com",
            "affiliation": "N",
            "endpointDescription": "Electronic EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "962 Forest Gln",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302388829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "JENKINS",
            "middle_name": "R",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vince Ifeanyi Chukwukelu, MD
• Eun Chung, D.O.
• Citizens Transportation 2 LLC
• Civilian Barber Surgeons
• Corion Atae Clark-Wright
• Christine Melisa Clarke
• Hector George Clarke Jr., PHARM.D
• Clayton Center Community Service Board
• Clayton Center CSB
• Clayton Chiropractic Center

• Family Nurse Practitioner in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.