Doren Louise Clark, NURSE PRACTITIONER - Medicare Family Medicine in Atlanta, GA

Doren Louise Clark, NURSE PRACTITIONER is a medicare enrolled "Family Medicine" physician in Atlanta, Georgia. Her current practice location is 5505 Peachtree Dunwoody Rd, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 705-2118.

Doren Louise Clark is licensed to practice in Georgia (license number F10170170) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407369200.

Contact Information

Doren Louise Clark, NURSE PRACTITIONER
5505 Peachtree Dunwoody Rd,
Atlanta, GA 30342-1705
(678) 705-2118
Not Available



Physician's Profile

Full NameDoren Louise Clark
GenderFemale
SpecialityFamily Medicine
Location5505 Peachtree Dunwoody Rd, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407369200
  • Provider Enumeration Date: 11/15/2017
  • Last Update Date: 11/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2264829159
  • Enrollment ID: I20220422002039

Medical Identifiers

Medical identifiers for Doren Louise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407369200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine F10170170 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Doren Louise Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Doren Louise Clark, NURSE PRACTITIONER
4009 Andover Cir,
Mcdonough, GA 30252-5502

Ph: (404) 694-3236
Doren Louise Clark, NURSE PRACTITIONER
5505 Peachtree Dunwoody Rd,
Atlanta, GA 30342-1705

Ph: (678) 705-2118

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Family Medicine Doctors in Atlanta, GA

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Tony Serrano-padin, M.D.
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Medicare: Not Enrolled in Medicare
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Phone: 770-457-5556    Fax: 770-457-7776
Zahidul Islam Chowdhury, M.D.
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Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307
Phone: 404-658-9840    Fax: 404-658-9846

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