Charli Hicks Clements

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN238981 Issued in GA

Practice address

367 Athens Hwy Ste 650
Loganville, GA 30052-7980

Phone

(706) 389-8941

Fax

(706) 389-8942

NPI assigned

Jan 21, 2020

Last updated

May 8, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arch Orthopedic and Spine, LLCGroup PAC ID 0244652782, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morgan Medical Center Hospital, Madison, GA, CCN 111304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12239/brand/3/csg/41/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/17850/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CGBBCD

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.

• Arch Orthopedic and Spine, LLC

  • Orthopaedic Surgery Physician
  • Watkinsville, GA
  • NPI 1477175941
  Medicare reassignment Care Compare group NPD
• Arch Orthopedic and Spine, LLC

  • Orthopaedic Surgery Physician
  • Loganville, GA
  • NPI 1073240917
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morgan County Georgia Hospital Authority

  dba Morgan Medical Center

  • Family Medicine Physician
  • Madison, GA
  • NPI 1083080105

  Hospital

  Care Compare affiliation
• Morgan County Georgia Hospital Authority

  dba Morgan Medical Center

  • Critical Access Hospital
  • Madison, GA
  • NPI 1205843174
  Care Compare affiliation

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1467082214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WANDA CT",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 650",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527980",
            "telephone_number": "706-389-8941",
            "fax_number": "706-389-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1470 CAAP Drive",
            "address_2": "Building 100 Suite 101",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "30677",
            "country_code": "US",
            "telephone_number": "706-389-8941",
            "fax_number": "706-389-8942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CHARLI",
        "middle_name": "HICKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christ the King Healthcare PC (Christ the King Medical Center)
• Circle of Care, Inc.
• Lydia Mikula Clackum, DPT
• Jordan T Cladd
• Carman Suzanne Clark, PSYCHOLOGIST, LPC
• Laura Coffee, MA SLP
• Lola Colbert, DDS
• Gabrielle Kenitha Collins
• Ashley Lorraine Colvin
• Comfort Way Home Care, LLC

• Family Nurse Practitioner in Loganville, GA
• Providers in Loganville, 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 May 8, 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.

Verify at the official NPI Registry.