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

Mr. Gregory Glen Clark, PA

Individual provider Anesthesiologist Assistant · NPI 1730235904

Mr. Gregory Glen Clark, PA is an Anesthesiology Assistant in Marietta, Georgia. Graduated from Emory University School of Medicine in 1987, 39 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
39
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

677 Church St NE
Marietta, GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
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 (5)

  • 8954 Hospital Dr, Douglasville, GA 30134-2272 — (770) 794-0477
  • 146 Bill Carruth Pkwy, Hiram, GA 30141-3749 — (770) 794-0477
  • 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 — (770) 702-1806
  • 531 Roselane St Nw, Marietta, GA 30060-6913 — (770) 794-0477
  • 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 — (770) 794-0477

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 1772 (GA)

Record details

NPI number1730235904
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 28, 2007
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Marietta