1. Home
  2. Directory
  3. Georgia
  4. Athens
  5. Physician Assistant
  6. NPI Profile

JUSTIN PHILIP CLACK PA
NPI 1750634754
Physician Assistant in Athens, GA

Active since October 16, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
242 KING AVE STE 130, ATHENS, GA 30606(706) 613-5880 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Philip Clack Pa NPPES

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

JUSTIN PHILIP CLACK PA (NPI 1750634754) is an individual physician assistant in Athens, Georgia and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1750634754
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN PHILIP CLACKCredential: PA
Location Address242 KING AVE STE 130Athens, GA 30606
Mailing Address550 Peachtree Street, Davis Fischer Building Office 330Atlanta, GA 30308
Phone(706) 613-5880
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 16, 2012
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1750634754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 6639 (GA)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 6639 (GA)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 6639 (GA)
242 KING AVE STE 130, Athens, GA 30606
Open in Google Maps ↗

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

Justin Philip Clack 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 ID5597918300
PECOS Enrollment IDI20130103000251
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

LAUREN FESPERMAN
Nurse Practitioner
242 KING AVE STE 130
ATHENS, GA 30606
Clarke County (706) 475-1870

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 Justin Clack's NPI number?

The NPI number for Justin Clack is 1750634754. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Justin Clack located?

Justin Clack practices at 242 King Ave Ste 130, Athens, GA 30606. The listed phone number is (706) 613-5880.

What is Justin Clack's specialty?

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

Is Justin Clack enrolled in Medicare?

Yes. Justin Clack 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.

Is Justin Clack affiliated with any hospitals?

According to CMS data, Justin Clack is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Clack was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.