Carlita Clark, RN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Atlanta, GA

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Carlita Clark, RN, CRNA is a medicare enrolled "Anesthesiology - Critical Care Medicine" physician in Atlanta, Georgia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Emory Specialty Associates, Llc and her current practice location is 303 Parkway Dr Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 265-4000.

Carlita Clark is licensed to practice in Georgia (license number RN214385) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1942784897.

Contact Information

Carlita Clark, RN, CRNA
303 Parkway Dr Ne,
Atlanta, GA 30312-1212
(404) 265-4000
Not Available

Map and Direction




Physician's Profile

Full NameCarlita Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location303 Parkway Dr Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carlita Clark graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1942784897
  • Provider Enumeration Date: 09/17/2018
  • Last Update Date: 12/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507110285
  • Enrollment ID: I20181115001743

Medical Identifiers

Medical identifiers for Carlita Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942784897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology RN214385 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 3017855 (Kentucky)Secondary
207LC0200XAnesthesiology - Critical Care Medicine RN214385 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory Hillandale HospitalLithonia, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Specialty Associates, Llc3476559782435

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlita Clark allows following entities to bill medicare on her behalf.
Entity NameMedical Center Anesthesiology Of Athens
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003863291
PECOS PAC ID: 1456246230
Enrollment ID: O20040219000797
Entity NameEmory Specialty Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameMak Anesthesia Northside Affiliates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499

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. Carlita 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
Carlita Clark, RN, CRNA
3895 Willowmeade Dr,
Snellville, GA 30039-6311

Ph: (678) 266-0620		Carlita Clark, RN, CRNA
303 Parkway Dr Ne,
Atlanta, GA 30312-1212

Ph: (404) 265-4000

Reviews and Comments


Anesthesiology Doctors in Atlanta, GA

Jinal Achyutkumar Khamar, CAA
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Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309
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Sarah Elizabeth Dunseath, MD
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Dr. John J Byrne, M.D.
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William O Prince, MD
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Phone: 404-351-1745    Fax: 404-351-7121
Dr. Joanna Miriam Schindler, M.D.
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Practice Location: 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303
Phone: 404-556-1497    
Dr. Sriharsha S Tanguturi, M.D.
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Practice Location: 200 Inman Ln Ne, Atlanta, GA 30307
Phone: 404-824-3262    
Shelly Stephens Norris, M.D.
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Phone: 404-558-7254    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.