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DOREN LOUISE CLARK NURSE PRACTITIONER
NPI 1407369200
Family Medicine in Atlanta, GA

Active since November 15, 2017PECOS Enrolled
5505 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342(678) 705-2118 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Doren Louise Clark Nurse Practitioner NPPES

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

DOREN LOUISE CLARK NURSE PRACTITIONER (NPI 1407369200) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (F10170170) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407369200
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDOREN LOUISE CLARKCredential: NURSE PRACTITIONER
Location Address5505 PEACHTREE DUNWOODY RDAtlanta, GA 30342-1705
Mailing Address4009 Andover CirMcdonough, GA 30252-5502 · (404) 694-3236
Phone(678) 705-2118
Sole ProprietorNo
Enumeration DateNovember 15, 2017
✔ NPI 1407369200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · F10170170
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5505 PEACHTREE DUNWOODY RD, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doren Louise Clark Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

HARVEY PENFIELD COLE III MD
Ophthalmology
5505 PEACHTREE DUNWOODY RD, STE 640
ATLANTA, GA 30342
Fulton County (404) 256-1500
MR. LAURIS TAYLOR JONES IV COTA/L
Occupational Therapy Assistant
5505 PEACHTREE DUNWOODY RD, SUITE 250
ATLANTA, GA 30342
Fulton County (404) 425-1577
PEACHTREE ORTHOPAEDIC CLINIC, PC
Pharmacy
5505 PEACHTREE DUNWOODY RD, SUITE 600-MOD E
ATLANTA, GA 30342
Fulton County (404) 355-0743
JC PLASTIC SURGERY OF ATLANTA, LLC
Surgery (Plastic and Reconstructive Surgery)
5505 PEACHTREE DUNWOODY RD, SUITE 220
ATLANTA, GA 30342
Fulton County (404) 312-3878
STEVEN I LEFF M.D.
Ophthalmology
5505 PEACHTREE DUNWOODY RD, STE 300
ATLANTA, GA 30342
Fulton County (404) 257-0814
ZULIMA ARMSTRONG CST
Specialist/Technologist, Other (Surgical Technologist)
5505 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (404) 220-7505
FELICIA JOHNSON DA
Dental Assistant
5505 PEACHTREE DUNWOODY RD, STE 470
ATLANTA, GA 30342
Fulton County (404) 255-5686
MARYLOU KAUFFMAN RN
Registered Nurse (Case Management)
5505 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342
Fulton County (404) 425-1678

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 Doren Clark's NPI number?

The NPI number for Doren Clark is 1407369200. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Doren Clark located?

Doren Clark practices at 5505 Peachtree Dunwoody Rd, Atlanta, GA 30342. The listed phone number is (678) 705-2118.

What is Doren Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Doren Clark enrolled in Medicare?

Yes. Doren Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Doren Clark was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.