MISS LAURIE ANNE CLARK PA-C
NPI 1023388014
Physician Assistant - Surgical in Atlanta, GA

Active since January 06, 2012PECOS EnrolledAccepts Medicare Assignment
95 COLLIER RD NW STE 6015, ATLANTA, GA 30309(491) 351-5959 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 9, 2017 (2 updates tracked since 2017).

About Miss Laurie Anne Clark Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LAURIE ANNE CLARK PA-C (NPI 1023388014) is an individual surgical provider in Atlanta, Georgia and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023388014
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS LAURIE ANNE CLARKCredential: PA-C
Location Address95 COLLIER RD NW STE 6015Atlanta, GA 30309-1750
Mailing Address5673 Peachtree Dunwoody Rd Ne, Suite 870Atlanta, GA 30342-1731 · (443) 910-2510
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 6, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1023388014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
95 COLLIER RD NW STE 6015, Atlanta, GA 30309

Other Names 1

Former Name (1)Laurie Anne Dielmann

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Laurie Anne Clark Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840455622
PECOS Enrollment IDI20250220002309
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
95 COLLIER RD NW STE 6015
ATLANTA, GA 30309
Physician Assistant
95 COLLIER RD NW STE 6015
ATLANTA, GA 30309
Surgery
95 COLLIER RD NW STE 6015
ATLANTA, GA 30309
Physician Assistant
95 COLLIER RD NW STE 6015
ATLANTA, GA 30309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurie Clark's NPI number?

The NPI number for Laurie Clark is 1023388014. It was assigned to this individual provider in the NPPES registry on January 6, 2012. The provider is also known as Laurie Anne Dielmann.

Where is Laurie Clark located?

Laurie Clark practices at 95 Collier Rd NW Ste 6015, Atlanta, GA 30309. The listed phone number is (491) 351-5959.

What is Laurie Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Laurie Clark enrolled in Medicare?

Yes. Laurie Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Laurie Clark affiliated with any hospitals?

According to CMS data, Laurie Clark is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Laurie Clark was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.