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

Michael A Clark, PA

Individual provider Physician Assistant · NPI 1457659773

Michael A Clark, PA is a Physician Assistant in Austell, Georgia. Graduated from Jefferson Medical College of Thomas Jefferson University in 2010, 16 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
GA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6072 (GA)

Record details

NPI number1457659773
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 10, 2011
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022
Mailing address5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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