LINDLEY HUDSON CLARK PA
NPI 1740964063
Physician Assistant - Medical in Marietta, GA

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment
790 CHURCH ST NE STE 400, MARIETTA, GA 30060(785) 813-8306 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2025, Jun 15, 2023 (2 updates tracked since 2023).

About Lindley Hudson Clark Pa NPPES

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

LINDLEY HUDSON CLARK PA (NPI 1740964063) is an individual medical provider in Marietta, Georgia and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Mercer University School Of Medicine (2023).

NPPES Registry Identity

NPI1740964063
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLINDLEY HUDSON CLARKCredential: PA
Location Address790 CHURCH ST NE STE 400Marietta, GA 30060-8957
Mailing AddressPo Box 3157Indianapolis, IN 46206-3157 · (855) 871-1526
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2023
Enumeration DateJune 15, 2023
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
NPI 1740964063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
790 CHURCH ST NE STE 400, Marietta, GA 30060

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 and accepts Medicare assignment

Lindley Hudson Clark Pa 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 ID4587026646
PECOS Enrollment IDI20230822000918
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
26 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Vascular & Interventional Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Physician Assistant
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060
Radiology (Diagnostic Radiology)
790 CHURCH ST NE STE 400
MARIETTA, GA 30060

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 Lindley Clark's NPI number?

The NPI number for Lindley Clark is 1740964063. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Lindley Clark located?

Lindley Clark practices at 790 Church St NE Ste 400, Marietta, GA 30060. The listed phone number is (785) 813-8306.

What is Lindley Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lindley Clark enrolled in Medicare?

Yes. Lindley 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.

What insurance does Lindley Clark accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lindley 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.

Is Lindley Clark affiliated with any hospitals?

According to CMS data, Lindley Clark is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center, Wellstar Douglas Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Lindley Clark was last updated on January 2, 2025. 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.