Cheryl Gervin-Clark, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN197685 Issued in GA

Practice address

2318 Pearce Ave
Albany, GA 31705-3312

Phone

(229) 255-6049

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1366874208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 PEARCE AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317053312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 PEARCE AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317053312",
            "telephone_number": "229-255-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVIN-CLARK",
        "first_name": "CHERYL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN197685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Pines Community Service Board
• Georgia Psychiatric and Addiction Clinic P.C.
• Georgia Specialist Center of Albany, LLC
• Bradley Johnston Germany, M.D.
• Gervin Health Services LLC
• Kasandra Renea Gervin
• Robert T Gervin Sr.
• Wimberly Edwards Giardina, MT-BC
• Kent Taylor Gibson, MD
• Millie Foster Gibson, MD

• Adult Health Nurse Practitioner in Albany, GA
• Providers in Albany, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.