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

Nicholas Benjamin Clemmons

Individual provider Nurse Practitioner · NPI 1881357127

Nicholas Benjamin Clemmons is a Nurse Practitioner in Athens, Georgia. Qualified in 2021, 5 years ago. Practices with Southland Emergency Medical Services Consolidated, LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

818 Tabby Ln
Athens, GA 30605-7058
Phone: (229) 449-4524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN227788 (GA)

Record details

NPI number1881357127
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 13, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address818 Tabby Ln, Athens, GA 30605-7058

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southland Emergency Medical Services Consolidated, Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Athens