NPI age
13 years
Enumerated 2012-10-16
● Active
Type 1 · Individual
Justin Philip Clack, PA
Clack is 1 of 96 physician assistant providers in Athens and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
3
In the 24% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Practice location
242 King Ave Ste 130
Athens, GA 30606
Mailing address
550 Peachtree Street, Davis Fischer Building Office 330
Atlanta, GA 30308
Additional practice locations
1 secondary location on file with NPPES.
Location 2
550 Peachtree St Ne, Davis Fischer Building Office 330
Atlanta, GA 303082208
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 treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
-
Orthopaedic SurgeryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
-
Orthopaedic SurgeryRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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