SCOTT T. CLARKE (PA) – Physician Assistant, NPI 1457597221
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for SCOTT T. CLARKE (PA)
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 534-2020
Fax: (770) 534-8025
Type: Location
Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States
ATLANTA, GA 30322
Phone: (404) 712-2000
Type: Location
859, Edgewood Avenue Northeast, Inman Park, Old Fourth Ward, Atlanta, Fulton County, Georgia, 30307, United States
ATLANTA, GA 303072547
Phone: (678) 230-1028
Type: Mailing
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone: (770) 534-2020
Fax: (770) 534-8025
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
1968 PEACHTREE RD NW
ATLANTA, GA 303091281
Phone: (404) 367-3014
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-05-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20090527000179 | I | Physician Assistant | GA | 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 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | OH | |
| Nurse Practitioner | GA | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA |
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