Justin Philip Clack, PA
NPI 1750634754ActiveIndividual· Physician Assistant· Athens, GA
Physician Assistant (PA) with Piedmont Athens Specialty Care LLC, practicing in Athens, Georgia. Medicare paid $8,686 for services to 87 patients in 2024. Lists Piedmont Athens Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1750634754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Oct 16, 2012 |
| Last updated in NPPES | Mar 29, 2024 |
| Certified by provider | Mar 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 6639 | GA |
| Orthopaedic Surgery | 207X00000X | 6639 | GA |
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 6639 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 129 across 14 procedure codes |
| Paid by Medicare | $8,686 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Piedmont Athens Specialty Care LLCAthens, GA · 116 clinicians
Hospital affiliation
- Piedmont Athens Regional Medical CenterAthens, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 99 physician assistants in Athens · All physician assistants in Georgia