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Michael A. Clark, PA

NPI 1457659773ActiveIndividual· Physician Assistant· Austell, GA

Physician Assistant (PA) in Austell, Georgia, trained at Jefferson Medical College of Thomas Jefferson University (class of 2010). Their prescriptions cost Medicare Part D more than their services did: $17,802 for 391 claims, against $5,953 paid for services in 2024.

Overview

NPI1457659773
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorYes
NPI issuedMar 10, 2011
Last updated in NPPESSep 21, 2022
Certified by providerSep 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X6072GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients63
Services billed73 across 7 procedure codes
Paid by Medicare$5,953

Part D prescriptions in 2024

Prescriptions (claims)391 · 425 30-day fills
Patients197
Total drug cost$17,802
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Medical schoolJefferson Medical College of Thomas Jefferson University
Graduation year2010
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Austell

All 91 physician assistants in Austell · All physician assistants in Georgia