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

Prof. Clinton L Boomgarden, PA

Individual provider Physician Assistant · NPI 1316049000

Prof. Clinton L Boomgarden, PA is a Physician Assistant in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 1988, 38 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
38
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
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

59 Executive Park South NE Ste 2098
Atlanta, GA 30329-2208
Phone: (404) 778-7230
Fax: (404) 778-3835
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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 2221 (GA)

Record details

NPI number1316049000
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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