AMANDA CLARK PA-C
NPI 1447512082
Physician Assistant - Surgical in Cumming, GA

Active since June 11, 2012PECOS Enrolled
610 PEACHTREE PKWY STE 130, CUMMING, GA 30041(770) 205-2804(770) 205-2854 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Feb 11, 2016 (2 updates tracked since 2016).

About Amanda Clark Pa-c NPPES

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

AMANDA CLARK PA-C (NPI 1447512082) is an individual surgical provider in Cumming, Georgia, licensed in Georgia (6480) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447512082
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMANDA CLARKCredential: PA-C
Location Address610 PEACHTREE PKWY STE 130Cumming, GA 30041-9778
Mailing Address610 Peachtree Pkwy Ste 130Cumming, GA 30041-9778
Fax(770) 205-2854
Sole ProprietorNo
Enumeration DateJune 11, 2012
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1447512082 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
License Licensed in GA · 6480
610 PEACHTREE PKWY STE 130, Cumming, GA 30041

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Clark Pa-c 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%548 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%355 patients5/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 50 patients
100%53 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%553 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%564 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
22%506 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
69%316 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Nurse Practitioner (Family)
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Family Medicine
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041
Family Medicine
610 PEACHTREE PKWY STE 130
CUMMING, GA 30041

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1447512082. It was assigned to this individual provider in the NPPES registry on June 11, 2012.

Where is Amanda Clark located?

Amanda Clark practices at 610 Peachtree Pkwy Ste 130, Cumming, GA 30041. The listed phone number is (770) 205-2804.

What is Amanda Clark's specialty?

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

Is Amanda Clark enrolled in Medicare?

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

What insurance does Amanda Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Amanda Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.