SearchGeorgia363LA2100X

Zachary Clevenger, AGACNP

NPI 1275588071 · on the registry since 2006

Practice

Address
750 Townpark Ln Nw
Kennesaw, GA 30144
Phone
(404) 364-7080
Fax
(404) 364-4984
Organisation at this address
Kaiser Foundation Health Plan Of Georgia Inc
Kaiser Foundation Health Plan Of Georgia Inc
Kaiser Foundation Health Plan Of Georgia Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
59

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LA2200X
363LF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia