En Bonne Sante Clinic LLC
NPI 1952134512 · Family Nurse Practitioner · Mcdonough, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
En Bonne Sante Clinic LLC is a Family Nurse Practitioner organization in Mcdonough, GA (NPI 1952134512).
Provider details
- NPI number
- 1952134512
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeanine Clark, Nurse Practitioner(239) 443-8018
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Home Health Agency251E00000X
Agencies
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-08-20
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is En Bonne Sante Clinic LLC's NPI number?
- En Bonne Sante Clinic LLC's National Provider Identifier (NPI) is 1952134512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is En Bonne Sante Clinic LLC?
- En Bonne Sante Clinic LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is En Bonne Sante Clinic LLC located?
- En Bonne Sante Clinic LLC's practice location on file with NPPES is 17 Hampton St Ste F, Mcdonough, GA 30253-3159.
- What is En Bonne Sante Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for En Bonne Sante Clinic LLC is (239) 443-8018.
- Does En Bonne Sante Clinic LLC accept Medicare?
- En Bonne Sante Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for En Bonne Sante Clinic LLC?
- The authorized official listed on En Bonne Sante Clinic LLC's NPPES record is Jeanine Clark, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is En Bonne Sante Clinic LLC's NPI active?
- Yes — En Bonne Sante Clinic LLC's NPI (1952134512) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.