NPI age
10 years
Enumerated 2016-01-25
● Active Type 2 · Organization
Clark Laser & Cosmetic Dermatology, Llc
Clark Laser & Cosmetic Dermatology, Llc is 1 of 483 dermatology organizations in Georgia.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Principal
Last NPPES update
2016-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
3200 Downwood Cir Nw, Suite 360
Atlanta, GA 303271610
Mailing address
20 10th St Nw Unit 901
Atlanta, GA 303093867
Authorized official
Jason A Clark, MD
Principal
📞 7708739956
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jillian Bailey, DPT Physical Therapist NPI 1083288997
- Clinton Bancroft, CRNA Nurse Anesthetist, Certified Registered NPI 1588657571
- Carmen Bradshaw, FNP-BC Nurse Practitioner NPI 1679185342
- James Brawner, MD, FACP Internal Medicine NPI 1285624528
- Melanie Burns Dentist NPI 1407224991
- Catherine Carman, NP-C Nurse Practitioner NPI 1588769541
- Jason Clark, M.D. Dermatology NPI 1295983427
- Kathleen Clark, APRN-BC Nurse Practitioner NPI 1912236209
- Julie Coan, PT Physical Therapist NPI 1588683429
- Renee Doddington, DPT Physical Therapist NPI 1982855607
- Larry Empting, M.D. Psychiatry & Neurology NPI 1063564490
- Eileen Gallagher, N.P. Nurse Practitioner NPI 1124182449
- Thomas Hester, M.D. Plastic Surgery NPI 1659317006
- Gregory Hughes, MD Anesthesiology NPI 1558354233
- Susan Hurt, M.D. Dermatology NPI 1659321743
- Samuel Lathan, MD, FACP, FACCP Internal Medicine NPI 1932263266
- Joash Lazarus, M.D. Psychiatry & Neurology NPI 1720374754
- Pamela Lyman, NP Nurse Practitioner NPI 1174072383
- Ansley McCarter Physical Therapist NPI 1770963993
- Clinton McCord, M.D. Plastic Surgery NPI 1376689901
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.