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

Zackary Clemons

Individual provider Vehicle Modifications Contractor · NPI 1205265246

Zackary Clemons is a Vehicle Modifications Contractor in Bogart, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
Specialties on file
3

Practice location Address checks out

220 Ben Burton Cir Ste Aandb
Bogart, GA 30622-6851
Phone: (678) 942-6334
Fax: (706) 243-4760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 056780190 (GA)
Vehicle Modifications Contractor Taxonomy 171WV0202X · Licence 0567890190 (GA)
Driver Taxonomy 172A00000X · Licence 056780190 (GA)

Record details

NPI number1205265246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2013
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025