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MARK A CLARK MD
NPI 1417061458
Family Medicine in Atlanta, GA

Active since August 18, 2006PECOS Enrolled
1745 PEACHTREE ST STE U, INTERNAL MEDICINE HEALTH CARE TEAM A, ATLANTA, GA 30309(404) 888-7646(404) 888-7647 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mark A Clark Md NPPES

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

MARK A CLARK MD (NPI 1417061458) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (042805) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417061458
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK A CLARKCredential: MD
Location Address1745 PEACHTREE ST STE U, INTERNAL MEDICINE HEALTH CARE TEAM AAtlanta, GA 30309
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1736 · (404) 364-7000
Phone(404) 888-7646
Fax(404) 888-7647
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417061458 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 · 042805
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.
1745 PEACHTREE ST STE U, Atlanta, GA 30309
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Other Identifiers 2

Medicare UPIND17648
Medicare ID-Type Unspecified08BBRNP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Clark Md 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 30309 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.

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 Mark Clark's NPI number?

The NPI number for Mark Clark is 1417061458. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Clark located?

Mark Clark practices at 1745 Peachtree St Ste U Internal Medicine Health Care Team A, Atlanta, GA 30309. The listed phone number is (404) 888-7646.

What is Mark Clark's specialty?

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

Is Mark Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.