OrganizationActive
Advance Cognitive Care LLC
NPI 1902799695 · Psychiatry Physician · Stone Mountain, GA
Provider details
- NPI number
- 1902799695
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aaron Clark, Owner(404) 316-7159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4666 Randalwood Dr
Stone Mountain, GA 30083-4350
Phone: (770) 670-0540
Fax: (770) 670-0540
Street-level locationGet directions
Mailing address
4666 Randalwood Dr
Stone Mountain, GA 30083-4350
Registry dates
- Enumerated
- 2025-05-31
- Last updated
- 2025-05-31
- Certified
- 2025-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.