Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801401112 Individual Practitioner Female Practitioner

Cotenna D. Clark

Nurse Practitioner - Gerontology • Atlanta, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Cotenna Clark is a certified Nurse Practitioner - Gerontology practicing in Atlanta, GA. With approximately 7 years of clinical experience since graduating from Emory University School Of Medicine in 2019, Cotenna Clark delivers high-quality medical care to the local community at 57 EXECUTIVE PARK SOUTH NE.

Cotenna Clark is affiliated with The Emory Clinic Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include residence visit for established patient with high level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

57 Executive Park South Ne

Atlanta, GA 303292288

Telephone 4047126929
Fax 4047120278
Associated Practice Facility / Clinic
🏢 The Emory Clinic Inc Facility NPI 1891516753

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Atlanta, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.6 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
49 Specialists

Practicing in Atlanta, GA (296 Statewide)

Telehealth Adoption Rate
20.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
80.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (7 Years) 7 Yrs
Atlanta Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
69 46 $688.00 $154.24
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
51 36 $472.00 $105.84
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
49 28 $231.90 $52.48
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
32 32 $1506.63 $223.74
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
21 15 $282.00 $63.59
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
18 13 $175.49 $40.14
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
17 12 $494.03 $112.45

Medical Specialties & State Licenses

CMS Verified: 2025-12-11
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License GA RN231376

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License GA RN231376

Definition to come...

Hospital & Practice Group Affiliations

The Emory Clinic Inc

1365 Clifton Rd Ne, Atlanta, GA 303221013

Phone: 4047787525

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Kari Burdzinski

Nurse Practitioner

NPI 1083369946
Kalisha Johnson , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1346584208

Psychiatric-Mental Health Nurse Practitioner

Laura Medders , LCSW

Social Worker - Clinical

NPI 1497146674

Licensed Clinical Social Worker

Keshali Patel

Student in an Organized Health Care Education/Training Program

NPI 1598683120
Meredith Sawyer , CRNP

Nurse Practitioner - Family

NPI 1609394089

Certified Registered Nurse Practitioner

Jennifer Gay , LCSW

Social Worker - Clinical

NPI 1689296709

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 11, 2025

Registered at 57 EXECUTIVE PARK SOUTH NE, ATLANTA, GA 303292288 (Tel: 4047126929)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2025

Nurse Practitioner (License #RN231376 in GA)

NPI Profile Active September 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2020

Registered at 1857 CAMEO CT, TUCKER, GA 300847002 (Tel: 6784851156)

📍
Updated Business Mailing Address September 14, 2020

Registered at 1857 CAMEO CT, TUCKER, GA 300847002 (Tel: 6784851156)

👤
Provider Name / Credentials Updated September 14, 2020

Recorded as COTENNA CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2020

Nurse Practitioner (License #RN231376 in GA)

🟢
Initial NPI Registration & Enumeration September 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801401112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2020
Last Update: December 11, 2025
Sole Proprietor: Yes

Mailing Address

1857 Cameo Ct

Tucker, GA 300847002

Phone: 6784851156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.