OrganizationActive
Clayton State University
NPI 1659758985 · Family Nurse Practitioner · Morrow, GA
Provider details
- NPI number
- 1659758985
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Betty Lane, Chair Nursing(678) 466-4953
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5809 Northlake Drive
Bldg 1000
Morrow, GA 30260
Phone: (678) 466-5590
Fax: (678) 466-4999
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Clayton State Blvd
Morrow, GA 30260
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2015-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.