OrganizationActive
Clark Laser & Cosmetic Dermatology, LLC
NPI 1528425360 · Dermatology Physician · Atlanta, GA
Provider details
- NPI number
- 1528425360
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Clark, Principal(770) 873-9956
- License
- 64521 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 Downwood Cir Nw
Suite 360
Atlanta, GA 30327-1610
Phone: (770) 405-9956
Fax: (888) 741-9391
Street-level locationGet directions
Mailing address
20 10th St Nw Unit 901
Atlanta, GA 30309-3867
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2016-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.