P Praxis·MD
● Active Type 1 · Individual

Elizabeth Clark

Public Health or Welfare·Roswell, GA· NPI 1356706543 · Enumerated 2015 · 10 years on NPI
Clark is 1 of 1 public health or welfare providers in Roswell and 1 of 343 in Georgia.
NPI age
10 years
Enumerated 2015-12-15
Primary specialty
Public Health or Welfare
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 343 active public health or welfare providers in Georgia.

NPI age
10 years
↓ 9 yr below median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-12Enumerated in NPPES
2015 2026

Where they practice

Practice location
295 Broadmeadow Cv
Roswell, GA 300752950
📞 7709937918
Mailing address
295 Broadmeadow Cv
Roswell, GA 300752950
📞 7709937918

Specialties

  • Public Health or Welfare Primary
    Definition to come...
    GA license #24915 taxonomy 251K00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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