Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Brantriesa Clark, PA

Physician Assistant in Covington, GA · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659883684

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Registry record

Entity type Individual (Type 1)

Name Mrs. Brantriesa Clark

Credential PA

Sex Female

Practice address 4181 Hospital Dr Ne Ste 205, Covington, GA, 30014

Phone (678) 342-8677

Enumeration date Oct 31, 2017

Last updated in NPPES Jun 19, 2025

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 8587 (GA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 8587 (GA) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Brantriesa Clark?

The National Provider Identifier (NPI) for Brantriesa Clark is 1659883684, a Type 1 (individual) record in the CMS NPPES registry.

Where does Brantriesa Clark practice?

The practice location on file with NPPES is in Covington, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-19.