Jaclyn Parks Clamon, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

263257NP Issued in GA

Practice address

3200 Downwood Cir NW Ste 700
Atlanta, GA 30327-5308

Phone

(404) 355-0743

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peachtree Orthopaedic Clinic PA

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1811912611
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1114493525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MILL WALK NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271533",
            "telephone_number": "310-702-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275308",
            "telephone_number": "404-355-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Phoenix Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303495062",
            "country_code": "US",
            "telephone_number": "404-355-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAMON",
        "first_name": "JACLYN",
        "middle_name": "PARKS",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "263257NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clair Counseling LLC
• Maiysha T Clairborne, MD
• Clairmont Medical Clinic LLC Belachew Yohannes a Ei Al MBR
• Ann Clairmont, RD
• Sherly Clairvil, NP
• Pauline Rose Clance, PH.D.
• Melanie Clancey, PAA
• Shay Clansy, LCSW
• Dima Ivonne Clanton, LDO
• Krishna Clanton, PHD, LPC, NCC

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.