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

Cotenna D. Clark

Individual provider Gerontology Nurse Practitioner · NPI 1801401112

Cotenna D. Clark is a Nurse Practitioner in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2019, 7 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
7
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

57 Executive Park South NE
Atlanta, GA 30329-2288
Phone: (404) 712-6929
Fax: (404) 712-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN231376 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN231376 (GA)

Record details

NPI number1801401112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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