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

Individual provider Family Nurse Practitioner · NPI 1679082549

Princess Clark, APRN is a Nurse Practitioner in Alpharetta, Georgia. Qualified in 2013, 13 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2017
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458
Phone: (770) 442-1911
Fax: (770) 442-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1504 N Thornton Ave Ste 107, Dalton, GA 30720-8394 — (706) 278-0138
  • 1503 Professional Ct, Dalton, GA 30720 — (706) 281-2121
  • 76 Highland Pavilion Ct Ste 133, Hiram, GA 30141-3170 — (770) 439-1172
  • 18 Riverbend Dr Sw Ste 120, Rome, GA 30161-6019 — (706) 378-1202

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN128145 (GA)

Record details

NPI number1679082549
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 23, 2017
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing addressPo Box 80883, Athens, GA 30608-0883

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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