Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Nichola Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1245652528

Kelley Nichola Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lawrenceville, Georgia. Qualified in 2013, 13 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group and accepts Medicare assignment. Licensed in Georgia and Maryland.

Years since qualifying
13
Licensed in
GA, MD
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone: (678) 312-1000
Fax: (678) 312-3282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R196154 (MD)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence GAA-CRNA004022 (GA)

Record details

NPI number1245652528
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 6, 2014
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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