DEBRA ASHLEY CLARK (NPI# 1255683330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255683330 |
| Entity Type | Individual |
| Full Name | DEBRA ASHLEY CLARK |
| Credential | AU,D. |
| Practice Address |
1720 Peachtree St Nw Ste 200 Atlanta GA 30309-2440 |
| Practice Telephone | (404) 351-5045 |
| Practice Fax Number | 7708977078 |
| Mailing Telephone | (404) 351-5045 |
| Mailing Fax Number | 7708977078 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A.01922 | OH | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PROFESSIONAL LICENSE | AUD004112 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336525625 | Debra Clark | Nurse Practitioner | 1040 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2015-08-10 |
| 1871816041 | Debra Striler Clark | Psychologist | 71 Walnut, Suite 109, Rochester, MI 48307-2073 | 2010-03-02 |
| 1952539785 | Debra Diane Clark | Reflexologist | 104 53rd Ave E, Bradenton, FL 34203-4702 | 2009-07-01 |
| 1720178650 | Debra Sue Clark | Physical Therapist | 3500 S Boulevard, Suite A, Edmond, OK 73013-5490 | 2006-10-13 |
| 1609896943 | Debra Jean Clark | Counselor | 10 Market St, Suite 5, Oneonta, NY 13820-2655 | 2006-07-20 |
| 1962473397 | Debra Clark | Family Medicine | 1409 Rt 9, Keeseville, NY 12944-2845 | 2006-02-01 |
| 1154665669 | Debra Mae Clark | Physical Therapy Assistant | 1502 E Centennial Dr, Pittsburg, KS 66762-6718 | 2012-11-21 |
| 1407144215 | Debra Lou Clark | Counselor | 3 Bridge St, Carthage, NY 13619-1353 | 2011-07-13 |
| 1790003218 | Debra Lynn Ann Clark | Licensed Practical Nurse | 116 Second St, Greenland, MI 49929 | 2010-05-07 |
| 1437477080 | Debra E Clark | Psychologist | 110 N Cayuga St, Ithaca, NY 14850-4326 | 2010-05-06 |
| Street Address |
1720 PEACHTREE ST NW STE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649797010 | Holly Austin | Otolaryngology | 1720 Peachtree St Nw Ste 200, Atlanta, GA 30309-2440 | 2017-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591536 | Carlotta A Cuthbertson | Audiologist | 2781 Joel Pl, Atlanta, GA 30360-1415 | 2020-02-28 |
| 1306489851 | Alexis Brooke Goldberg | Audiologist | 960 Johnson Fy Rd Ne Ste 144, Atlanta, GA 30342-1601 | 2019-10-28 |
| 1194378109 | Katie Miller | Audiologist | 3225 Cumberland Blvd Se Ste 175, Atlanta, GA 30339-6407 | 2019-07-18 |
| 1750864070 | Jill Lowther | Audiologist | 2140 Peachtree Rd Nw Ste 350, Atlanta, GA 30309-1317 | 2018-09-12 |
| 1578054839 | Kara Marie Kassoff | Audiologist | 1800 Peachtree St Nw Ste 700, Atlanta, GA 30309-2511 | 2018-05-22 |
| 1760991160 | Haliee Patel | Audiologist | 415 Morgan Falls Rd Apt 6111, Atlanta, GA 30350-5869 | 2017-09-28 |
| 1174053219 | Brittney Tardy | Audiologist | 3330 Piedmont Rd Ne Ste 1, Atlanta, GA 30305-1726 | 2017-06-12 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1972941581 | Brittany Whitlock Hightower | Audiologist | 2061 Peachtree Rd Ne Ste 300a, Atlanta, GA 30309-1447 | 2013-06-06 |
| 1720321631 | Lynne Dunnington Peavey | Audiologist | 5455 Meridian Mark Rd Suite 130, Pediatric Ear Nose & Throat of Atlanta PC, Atlanta, GA 30342-4277 | 2013-03-28 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.