Shantera Clark, FNP-C
NPI 1962020057ActiveIndividual· Nurse Practitioner, Family· Statesboro, GA
Nurse Practitioner, Family (FNP-C) with Privia Medical Group of Georgia LLC, practicing in Statesboro, Georgia. Their prescriptions cost Medicare Part D more than their services did: $315,182 for 1,779 claims, against $21,400 paid for services in 2024. Axsome Therapeutics, Inc. was the largest of 16 companies reporting payments in 2025, $1,986 in all, mostly food and beverage.
Overview
| NPI | 1962020057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Jul 6, 2020 |
| Last updated in NPPES | Aug 4, 2022 |
| Certified by provider | Aug 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN220889 | 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 | 114 |
|---|---|
| Services billed | 361 across 10 procedure codes |
| Paid by Medicare | $21,400 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,779 · 2,543 30-day fills |
|---|---|
| Patients | 161 |
| Total drug cost | $315,182 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Privia Medical Group of Georgia LLCFayetteville, GA · 462 clinicians
Industry payments (Open Payments)
- 2025$1,986 · 104 payments from 16 companies
- 2024$1,458 · 74 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $286.61 | 13 |
| Neurocrine Biosciences, Inc. | $284.57 | 14 |
| Alkermes, Inc. | $217.35 | 15 |
| Abbvie Inc. | $214.93 | 16 |
| Vanda Pharmaceuticals Inc. | $211.02 | 9 |
What the 2025 payments were for
- Food and Beverage$1,986 · 104 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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