NPI age
5 years
Enumerated 2020-09-14
● Active
Type 1 · Individual
Cotenna D. Clark
Clark is 1 of 37 nurse practitioner providers in Atlanta and 1 of 280 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 280 active nurse practitioner providers in Georgia.
NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Practice location
57 Executive Park South Ne
Atlanta, GA 303292288
Mailing address
1857 Cameo Ct
Tucker, GA 300847002
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Atlanta in the last 180 days.
See all →
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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.