NPI age
8 years
Enumerated 2017-10-31
● Active
Type 1 · Individual
MRS. Brantriesa Clark, PA
Clark is 1 of 12 physician assistant providers in Covington and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-10Enumerated in NPPES
2017
2026
Where they practice
Practice location
4181 Hospital Dr Ne Ste 205
Covington, GA 300142541
Mailing address
1829 Lawrenceville Hwy
Decatur, GA 300335728
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1829 Lawrenceville Hwy
Decatur, GA 300335728
Location 3
5447 Dividend Dr
Lithonia, GA 300588412
Specialties
-
Physician Assistant PrimaryA 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...
-
Internal MedicineAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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