MISS LAURIE ANNE CLARK (PA-C) – Surgical Physician Assistant, NPI 1023388014
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MISS LAURIE ANNE CLARK (PA-C)
5673 PEACHTREE DUNWOODY RD NE
SUITE 870
ATLANTA, GA 303421731
Phone: (443) 910-2510
Type: Mailing
95 COLLIER RD NW STE 6015
ATLANTA, GA 303091750
Phone: (491) 351-5959
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120628000423 | I | Physician Assistant | GA | TBD |
| I20250220002309 | I | Physician Assistant | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), General Surgery | MD | |
| Critical Care (Intensivists), Hospitalist, Internal Medicine | MD | |
| N E U R O L O G Y | MD | |
| Critical Care (Intensivists), Internal Medicine | NJ | |
| Nurse Practitioner | MD | |
| O P H T H A L M O L O G Y | MD | |
| H O S P I T A L I S T | TN | |
| Sleep Medicine, Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | MD | |
| N E U R O L O G Y | MD | |
| Physician Assistant | MD |
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