NPI age
20 years
Enumerated 2006-01-19
● Active
Type 1 · Individual
DR. Jerrold A Clark, MD
Clark is 1 of 14 pathology providers in Marietta and 1 of 483 in Georgia.
Primary specialty
Pathology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-05-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 483 active pathology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
2275 Northwest Parkway Se, Suite 140
Marietta, GA 300679319
Mailing address
14275 Midway Rd, Suite 400
Addison, TX 750013614
Specialties
-
Pathology PrimaryA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
-
PathologyA physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52235375 009 | BCBS MARIETTA |
| 01 (GA) | 345972 | WELLCARE |
| 05 (GA) | 202I220225 | |
| 01 (GA) | 52235375 006 | BCBS MONROE |
| 01 (GA) | 581267100 | TRICARE |
| 05 (GA) | 000302112A | |
| 01 (GA) | 52235375 008 | BCBS BLECKLEY |
| 01 (GA) | 52235375 005 | BCBS COLISEUM |
| 01 (GA) | 52235375 007 | BCBS MACON NORTHSIDE |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 483 Pathology providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.