Individual provider Active NPI

Christian Rebecca Clinard, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1598354565
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN170168 Issued in GA
Practice address
791 Poplar St
Macon, GA 31201-2045
Phone
(478) 755-8838
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN170168 GA Primary

Addresses

Primary practice location

791 Poplar St
Macon, GA 31201-2045

Mailing address

791 Poplar St
Macon, GA 31201-2045
Phone (478) 755-8838

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210201001973 GA Practitioner - Nurse Practitioner 4688088750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Gastroenterology, LLCGroup PAC ID 9739367459, 3 clinicians

Practice addresses (Care Compare)

791 Poplar St
Macon, GA 31201-2045
Phone (478) 755-0800

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN170168GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Gastroenterology, LLC CurrentSince Jun 7, 2023 Accepting new patients
Middle Georgia Gastroenterology PastSince Jun 7, 2023 Accepting new patients

Locations

791 Poplar St
Macon, GA 31201
Phone (478) 755-0800

1011 Fernwood Dr
Milledgeville, GA 31061
Phone (478) 457-3900

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1598354565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012045",
            "telephone_number": "478-755-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 POPLAR ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012045",
            "telephone_number": "478-755-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINARD",
        "first_name": "CHRISTIAN",
        "middle_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN170168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.