Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Clark, PA-C

Individual provider Surgical Physician Assistant · NPI 1447512082

Amanda Clark, PA-C is a Surgical Physician Assistant in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

610 Peachtree Pkwy Ste 130
Cumming, GA 30041-9778
Phone: (770) 205-2804
Fax: (770) 205-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6480 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1447512082
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2012
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address610 Peachtree Pkwy Ste 130, Cumming, GA 30041-9778

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