Active NPI
Catherine Lynn Clark, NP-C
- Family Nurse Practitioner
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 227661
- Practice address
- 2782 N Cobb Pkwy
Kennesaw, GA 30152-3472 - Phone
- (866) 389-2727
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5022918 | NC | |
| Family Nurse Practitioner | 363LF0000X | 0024194712 | VA | |
| Family Nurse Practitioner | 363LF0000X | 17464 | CT | |
| Family Nurse Practitioner | 363LF0000X | 227661 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 26NJ15518900 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 31423 | SC | |
| Family Nurse Practitioner | 363LF0000X | 124763 | WV |
Addresses
Primary practice location
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Mailing address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Other practice location 1
323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (866) 389-2727
Other names 1
- Catherine Fleischer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17464 | CT | MD | Family Nurse Practitioner |
| 227661 | GA | MD | Family Nurse Practitioner |
| 5022918 | NC | MD | Family Nurse Practitioner |
| 26NJ15518900 | NJ | MD | Family Nurse Practitioner |
| 0024194712 | VA | MD | Family Nurse Practitioner |
| 124763 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Georgia Emergency Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| The Bortolazzo Group, LLC | Current | Accepting new patients | |
| Medici Urgent Care and Wellness Center | Current | Accepting new patients |
Locations
1039 Grant St SE
Ste D12
Atlanta, GA 30315
Phone (678) 736-5248
303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1225630395
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1396226114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 N COBB PKWY",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301523472",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "323 Cromwell Ave",
"address_purpose": "LOCATION",
"city": "Rocky Hill",
"state": "CT",
"postal_code": "060671801",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "CATHERINE",
"middle_name": "LYNN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5022918",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024194712",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "17464",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "227661",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15518900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "31423",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "124763",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "FLEISCHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.