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

Mrs. Brantriesa Clark, PA

Individual provider Cardiovascular Disease Physician · NPI 1659883684

Mrs. Brantriesa Clark, PA is a Physician Assistant in Covington, Georgia. Qualified in 2017, 9 years ago. Practices with Piedmont Cardiology of Atlanta, LLC, a 479-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
Specialties on file
2
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 →

Practice location Address checks out

4181 Hospital Dr NE Ste 205
Covington, GA 30014-2541
Phone: (678) 342-8677
Show map & directions

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

Additional practice locations (2)

  • 1829 Lawrenceville Hwy, Decatur, GA 30033-5728 — (404) 292-8335
  • 5447 Dividend Dr, Lithonia, GA 30058-8412 — (770) 322-8881

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8587 (GA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 8587 (GA)

Record details

NPI number1659883684
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 31, 2017
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Piedmont Cardiology Of Atlanta, Llc — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Covington