Edna Clark, LPN

NPI: 1114918158

Edna Clark, LPN

Q: What is Edna Clark's NPI number?

Edna Clark's NPI number is 1114918158, a unique 10-digit identifier issued by CMS.

Q: What does Edna Clark specialize in?

Edna Clark specializes in Licensed Practical Nurse, taxonomy code 164W00000X.

Q: Where does Edna Clark practice?

Edna Clark practices in Hinesville, GA 31313-3941.

Q: When was Edna Clark's NPI issued?

Edna Clark's NPI was issued on October 31, 2005.

Q: What is Edna Clark's provider type?

Edna Clark is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderLicensed Practical Nurse

NPI issued: October 31, 2005

Quick Facts

NPI Number

1114918158

TypeIndividual

StatusActive

SpecialtyLicensed Practical Nurse

Taxonomy164W00000X — Licensed Practical Nurse

Phone

(912) 368-2107

StateGA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1114918158)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (October 31, 2005)

Data source: CMS NPPES

Provider Overview

EDNA CLARK, LPN is a Licensed Practical Nurse provider based in Hinesville, GA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114918158

Provider TypeIndividual Provider

GenderFemale

CredentialLPN

StatusActive

Enumeration DateOctober 31, 2005

Practice Location

CityHinesville

StateGA

ZIP Code31313-3941

Phone(912) 368-2107

Specialties & Licenses

★ Primary

SpecialtyLicensed Practical Nurse

Taxonomy Code164W00000X

License StateGA

Mailing Address

CityHinesville

StateGA

ZIP Code31313-3941

Phone(912) 368-2107

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114918158 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114918158for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114918158 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Licensed Practical Nurse

Specialists in Licensed Practical Nurse provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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