Justin Philip Clack, PA
Justin Philip Clack, PA is a Physician Assistant in Athens, Georgia. Qualified in 2012, 14 years ago. Practices with Piedmont Athens Specialty Care LLC, a 116-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 14
- Licensed in
- GA
- In the registry since
- 2012
- Specialties on file
- 4
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
242 King Ave Ste 130Athens, GA 30606
Phone: (706) 613-5880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 550 Peachtree St Ne, Atlanta, GA 30308-2208 — (404) 686-7858
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Pulmonary Disease Physician | Taxonomy 207RP1001X · Licence 6639 (GA) |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 6639 (GA) |
| Orthopaedic Trauma Physician | Taxonomy 207XX0801X · Licence 6639 (GA) |
Record details
| NPI number | 1750634754 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2012 |
| Last updated in NPPES | March 29, 2024 |
| Certification date | March 27, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Piedmont Athens Specialty Care Llc — 116 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Athens
-
Athens Pulmonary and Allergy, PC
3320 Old Jefferson Rd Bldg 200 Ste A, Athens, GA 30607-1400 · (706) 549-5560
-
James A Barker, MD
1500 Oglethorpe Ave Ste 200C, Athens, GA 30606-2165 · (706) 389-3875
-
Jaimie N Hollis, NP
1199 Prince Ave, Athens, GA 30606-2797 · (706) 475-7000
-
Dr. Francis Hugh Jenkins, MD
3320 Old Jefferson Rd Ste 200A, Athens, GA 30607-1400 · (706) 549-5560
-
Dr. John P Lazenby, MD
3320 Old Jefferson Rd Ste 200A, Athens, GA 30607-1400 · (706) 549-5560
-
Dr. Stephen K Lucas, MD
3320 Old Jefferson Rd Ste 200A, Athens, GA 30607-1400 · (706) 549-5560