Active NPI
Karen L Conklin, AGNP
- Gerontology Nurse Practitioner
- Hinesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- GAA-NP005130
- Practice address
- 455 S Main St Ste 201
Hinesville, GA 31313-4354 - Phone
- (912) 876-3552
- Fax
- (912) 876-3556
- NPI assigned
- Nov 24, 2014
- Last updated
- Sep 8, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | GAA-NP005130 | GA | Primary |
| Nurse Practitioner | 363L00000X | GAA-NP005130 | GA |
Addresses
Primary practice location
455 S Main St Ste 201
Hinesville, GA 31313-4354
Mailing address
455 S Main St Ste 201
Hinesville, GA 31313-4354
Phone (912) 876-3552
Other practice location 1
4124 Kittrell Farms Dr Apt 3
Greenville, NC 27858-8998
Phone (252) 945-7868
Other practice location 2
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6202
Other practice location 3
3681 N Main St
Farmville, NC 27828-1464
Phone (252) 753-7141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152836 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians East, PA | Current | Accepting new patients | |
| Physicians East, P.a. | Current | Accepting new patients | |
| Physicians East PA | Past | Accepting new patients |
Locations
3681 North Main St
#114
Farmville, NC 27828
Phone (252) 753-7141
3681 North Main St
Ste 114
Farmville, NC 27828
Phone (252) 753-7141
1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641
4796 Old Tar Rd
Winterville, NC 28590
Phone (252) 353-4111
Interoperability endpoints
- karenconklin@pepa.medalliesdirect.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1598761967
-
dba Greenville Women's Care
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1205884939
-
- Multi-Specialty Clinic/Center
- Farmville, NC
- NPI 1033115407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1902203623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST STE 201",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134354",
"telephone_number": "912-876-3552",
"fax_number": "912-876-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST STE 201",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134354",
"telephone_number": "912-876-3552",
"fax_number": "912-876-3556"
}
],
"practiceLocations": [
{
"address_1": "4124 Kittrell Farms Dr Apt 3",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278588998",
"country_code": "US",
"telephone_number": "252-945-7868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 W Arlington Blvd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278345704",
"country_code": "US",
"telephone_number": "252-413-6202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3681 N Main St",
"address_purpose": "LOCATION",
"city": "Farmville",
"state": "NC",
"postal_code": "278281464",
"country_code": "US",
"telephone_number": "252-753-7141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONKLIN",
"first_name": "KAREN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "GAA-NP005130",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "GAA-NP005130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.