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

Avery Brunson Clark

Individual provider Physician Assistant · NPI 1285595306

Avery Brunson Clark is a Physician Assistant in Powder Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

1151 Bowerie Chase
Powder Springs, GA 30127-4940
Phone: (770) 401-4634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (GA)

Record details

NPI number1285595306
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1151 Bowerie Chase, Powder Springs, GA 30127-4940

Other providers in Powder Springs