Zaccardo K. Clark, NP
NPI 1336581636ActiveIndividual· Nurse Practitioner· Austell, GA
Nurse Practitioner (NP) with Wellstreet of Georgia PC, practicing in Austell, Georgia. 118 Medicare patients in 2024, $11,667 paid; nearly all of their 195 Part D prescriptions were generic (90%).
Overview
| NPI | 1336581636 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 27, 2013 |
| Last updated in NPPES | Oct 30, 2025 |
| Certified by provider | Oct 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN231360 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 118 |
|---|---|
| Services billed | 295 across 31 procedure codes |
| Paid by Medicare | $11,667 |
Part D prescriptions in 2024
| Prescriptions (claims) | 195 · 197 30-day fills |
|---|---|
| Patients | 145 |
| Total drug cost | $1,686 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Wellstreet of Georgia PCFayetteville, GA · 430 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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