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AVERY BRUNSON CLARK
NPI 1285595306
Physician Assistant in Powder Springs, GA

Active since November 19, 2025
1151 BOWERIE CHASE, POWDER SPRINGS, GA 30127(770) 401-4634 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avery Brunson Clark NPPES

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

AVERY BRUNSON CLARK (NPI 1285595306) is an individual physician assistant in Powder Springs, Georgia and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1285595306
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAVERY BRUNSON CLARK
Location Address1151 BOWERIE CHASEPowder Springs, GA 30127-4940
Mailing Address1151 Bowerie ChasePowder Springs, GA 30127-4940 · (770) 401-4634
Phone(770) 401-4634
Sole ProprietorNo
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1285595306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1151 BOWERIE CHASE, Powder Springs, GA 30127
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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 Avery Clark's NPI number?

The NPI number for Avery Clark is 1285595306. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Avery Clark located?

Avery Clark practices at 1151 Bowerie Chase, Powder Springs, GA 30127. The listed phone number is (770) 401-4634.

What is Avery Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Avery Clark was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.