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Joni Lynn Clay , NP

Nurse Practitioner โ€ข Lagrange, GA

Active NPI 1164207643 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

303 Smith St
Lagrange, GA 302402745

Call 7068828831 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

303 Smith St

Lagrange, GA 302402745

Telephone 7068828831
Organization at the Same NPPES Address or Phone
Laboratory Corporation Of America Holdings Facility NPI 1831172014

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Emory Specialty Associates, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

121 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $19,253 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $13,755 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

795 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$18,474 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Joni Clay has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Joni Clay as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lagrange and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Lagrange, GA (2024, 14 clinicians with data). Median for this group: 208. Middle half: 99 to 383.

Close to the middle for clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: 237. Middle half: 83 to 600.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner in Lagrange, GA (2024, 14 clinicians with data). Median for this group: $15,404. Middle half: $10,418 to $25,506.

Close to the middle for clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: $17,131. Middle half: $6,757 to $37,268.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Lagrange, GA (2024, 14 clinicians with data). Median for this group: $11,096. Middle half: $7,455 to $18,623.

Close to the middle for clinicians listed under Nurse Practitioner in Georgia (2024, 1,262 clinicians with data). Median for this group: $12,801. Middle half: $5,094 to $27,820.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Lagrange, GA (2024, 14 clinicians with data). Median for this group: 693. Middle half: 329 to 1,583.

Close to the middle for clinicians listed under Nurse Practitioner in Georgia (2024, 1,337 clinicians with data). Median for this group: 379. Middle half: 102 to 1,362.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Lagrange, GA (2024, 14 clinicians with data). Median for this group: $21,282. Middle half: $2,497 to $162,791.

Close to the middle for clinicians listed under Nurse Practitioner in Georgia (2024, 1,337 clinicians with data). Median for this group: $21,407. Middle half: $1,326 to $171,715.

24 active clinicians are listed under Nurse Practitioner with a practice address in Lagrange, GA (3,110 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lagrange

12.5% of these 24 clinicians have the CMS telehealth indicator.

70.8% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
98 74 $475.31 $100.09
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
70 51 $336.63 $72.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $619.07 $133.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $417.56 $88.74

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sucralfate Sucralfate 119 3,735 $4,202.07 90
Famotidine Famotidine 87 4,710 $827.61 41
Omeprazole Omeprazole 82 5,479 $890.05 41
Pantoprazole Sodium Pantoprazole Sodium 77 4,752 $569.59 33
Dicyclomine Hcl Dicyclomine Hcl 37 1,286 $550.44 17
Ondansetron Hcl Ondansetron Hcl 18 167 $95.36 13
Linzess Linaclotide 18 540 $9,802.60 โ€”
Esomeprazole Magnesium Esomeprazole Magnesium 15 750 $282.13 โ€”
Colesevelam Hcl Colesevelam Hcl 14 490 $665.28 โ€”
Metronidazole Metronidazole 12 160 $149.02 11
Lactulose Lactulose 12 600 $258.59 โ€”
Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl 12 13 $181.63 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA RN231593

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20231219001656

Enrollment State Jurisdiction

GA

PECOS Control ID

9234589177

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Emory Specialty Associates, Llc

1821 Clifton Rd Ne, Atlanta, GA 303294021

Phone: 4047286812

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
NPI 1497795397

Doctor of Medicine (M.D.)

Sharita Arrington

Nurse Practitioner - Family

NPI 1568195410
William Ayers

Surgery - Vascular Surgery

NPI 1427097492
Dana Brooks , APRN

Nurse Practitioner - Family

NPI 1487981312

Advanced Practice Registered Nurse

Kela Bryant , NP-C

Nurse Practitioner - Primary Care

NPI 1588104160

Nurse Practitioner (Certified)

Paige Clifton , NP

Nurse Practitioner

NPI 1427427517

Nurse Practitioner

Career & Practice History

NPI enumerated August 31, 2023.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from September 2023 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1164207643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2023
Last Update: September 08, 2023
Sole Proprietor: No

Other Nurse Practitioners in Lagrange

All Nurse Practitioners in Lagrange

Mailing Address

41 Terrace Dr

Lagrange, GA 302404033

Phone: 7066164470

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.