Provider Profile

Brantriesa Clark, PA

Unclaimed Profile

About Brantriesa Clark

Brantriesa Clark, PA is a physician assistant practicing in Covington, GA. Brantriesa is also listed as specializing in cardiovascular disease. According to Medicare claims data, Brantriesa cared for 262 Medicare patients across 310 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, detection test by immunoassay with direct visual observation for influenza virus, and new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2017

Specialty

Physician Assistant (Primary)
Physician Assistant (Additional)

Credentials & Licensing

GA license8587
NPI1659883684
NPI issued10/31/2017

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Brantriesa Clark specialize in?

Brantriesa Clark is a physician assistant in Covington, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Brantriesa Clark located?

Brantriesa Clark is listed at 4181 Hospital Dr Ne Ste 205, Covington, GA 30014. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Brantriesa Clark's phone number?

The number on file is (678) 342-8677. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Brantriesa Clark's NPI number?

Brantriesa Clark's National Provider Identifier is 1659883684. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Brantriesa Clark train?

Brantriesa Clark attended Other, graduating in 2017. This comes from the CMS National Downloadable File.

CMS public data

How long has Brantriesa Clark been practicing?

Brantriesa Clark has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.

CMS public data

What does Brantriesa Clark do most often?

According to Medicare billing data, Brantriesa Clark performs imaging including x-ray of chest, 2 views, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Brantriesa Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Brantriesa Clark. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.