Gina P Clevenger, C-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN120899 Issued in GA

Practice address

330 Turner McCall Blvd SW Ste 107
Rome, GA 30165-5631

Phone

(706) 509-6439

Fax

(770) 607-1339

NPI assigned

Sep 20, 2006

Last updated

Aug 10, 2021By 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

Other identifiers 1

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

98.9 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gclevenger913335@carolinashealthcaresystem.direct-ci.com

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.

• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Primary Care

  • Family Medicine Physician
  • Rome, GA
  • NPI 1689610149
  Medicare reassignment NPD
• Floyd Healthcare Management Inc

  dba Atrium Health Floyd Specialty Pharmacy

  • Specialty Pharmacy
  • Rome, GA
  • NPI 1548056468
  NPD
• Pediatric Medicine of Cartersville, P.C.

  • Family Nurse Practitioner
  • Cartersville, GA
  • NPI 1851444632
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1861599045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COLLINS DR",
            "address_2": "SUITE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202486",
            "telephone_number": "770-607-0795",
            "fax_number": "770-607-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TURNER MCCALL BLVD SW STE 107",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655631",
            "telephone_number": "706-509-6439",
            "fax_number": "770-607-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "GINA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN120899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000836382B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toc@directfloydhealthcare.org",
            "affiliation": "N",
            "address_1": "330 Turner McCall Blvd SW Ste 107",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301655631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jada Clarke, B.S.
• Richard Clay
• Kelsey Gene Clayton, FNP-BC
• Erin Clemens, DC
• Gabriel Clements, PT
• Ashley Cliatt
• Horace Lee Cline, M.D.
• Clocktower Medical Group, LLC
• Clover House, LLC
• Susan Cobb, RN

• Family Nurse Practitioner in Rome, GA
• Providers in Rome, 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 Aug 10, 2021; 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.