Individual provider Active NPI

Carol Jean Clark-Geiger, DNP ACNPC-AG

  • Acute Care Nurse Practitioner
  • Flint, MI
National Provider Identifier
1194213256
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704220753 Issued in MI
Practice address
4100 S Saginaw St
Flint, MI 48507-2683
Phone
(810) 230-4720
NPI assigned
Apr 24, 2018
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704220753 MI Primary

Addresses

Primary practice location

4100 S Saginaw St
Flint, MI 48507-2683

Mailing address

4060 Poli Rd
Ortonville, MI 48462-9238
Phone (248) 561-5849

Other practice location 1

9448 Dean Rd
Fenton, MI 48430-9317
Phone (248) 825-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid Rao MD PC CurrentSince Jan 1, 2025 Accepting new patients
365 Health Care Group PLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

Interoperability endpoints

  • Direct secure messaging: cgeiger@landmarkhealth-direct.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1194213256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 POLI RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629238",
            "telephone_number": "248-561-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072683",
            "telephone_number": "810-230-4720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9448 Dean Rd",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484309317",
            "country_code": "US",
            "telephone_number": "248-825-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK-GEIGER",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "DNP ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704220753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.