Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427776160 Individual Practitioner Female Practitioner

Raven Clark , NP

Nurse Practitioner • Marietta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Raven Clark, NP is a certified Nurse Practitioner practicing in Marietta, GA. With approximately 5 years of clinical experience since completing medical education in 2021, Raven Clark delivers high-quality medical care to the local community at 100 PIEDMONT RD NE.

Raven Clark is affiliated with Minuteclinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Piedmont Rd Ne

Marietta, GA 300663636

Telephone 7707959844
Associated Practice Facility / Clinic
🏢 Georgia Cvs Pharmacy, L.l.c. Facility NPI 1033271333

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marietta, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -9.2 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
117 Specialists

Practicing in Marietta, GA (3149 Statewide)

Telehealth Adoption Rate
13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (5 Years) 5 Yrs
Marietta Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
17 16 $120.00 $34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $139.00 $94.75
99213 Established patient office or other outpatient visit, typically 15 minutes
16 16 $139.00 $76.10

Medical Specialties & State Licenses

CMS Verified: 2023-01-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN259021

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License GA RN259021

Definition to come...

Hospital & Practice Group Affiliations

Minuteclinic Llc

2782 N Cobb Pkwy, Kennesaw, GA 301523472

Phone: 8663892727

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Constance Eccles , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1043981335

NURSEPRACTITIONER

NPI 1144119025

Registered Pharmacist

Enika Mcclain

Nurse Practitioner - Psychiatric/Mental Health

NPI 1427576776
Maria Reid , APRN

Nurse Practitioner - Family

NPI 1447584537

Advanced Practice Registered Nurse

Karimah Hodges-Brown

Nurse Practitioner - Family

NPI 1699432989
NPI 1730783416

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 06, 2023

Registered at 100 PIEDMONT RD NE, MARIETTA, GA 300663636 (Tel: 7707959844)

📍
Updated Business Mailing Address January 06, 2023

Registered at 100 PIEDMONT RD NE, MARIETTA, GA 300663636

NPI Profile Active August 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2022

Registered at 455 NATHAN DEAN BLVD, DALLAS, GA 301324921 (Tel: 7705053837)

📍
Updated Business Mailing Address August 18, 2022

Registered at 2620 ELM HILL PIKE, NASHVILLE, TN 372143108

👤
Provider Name / Credentials Updated August 18, 2022

Recorded as RAVEN CLARK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2022

Nurse Practitioner (License #RN259021 in GA)

🟢
Initial NPI Registration & Enumeration August 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427776160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2022
Last Update: January 06, 2023
Sole Proprietor: Yes

Mailing Address

100 Piedmont Rd Ne

Marietta, GA 300663636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.