Individual provider Active NPI

Victoria Alexandria Clark, APRN

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1265184899
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017713 Issued in FL
Practice address
5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544
Phone
(404) 255-0621
NPI assigned
Jan 25, 2022
Last updated
May 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP246236 GA
Family Nurse Practitioner 363LF0000X 11017713 FL Primary
Women's Health Nurse Practitioner 363LW0102X 11017713 FL

Addresses

Primary practice location

5780 Peachtree Dunwoody Rd Ste 295
Atlanta, GA 30342-1544

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other names 1

  • Mrs. Victoria Alexandria Clark Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031003777 FL Practitioner - Nurse Practitioner 7113373846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

4321 N Macdill Ave
Suite 205
Tampa, FL 33607-6390
Phone (813) 961-7440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017713FLMDFamily Nurse Practitioner
APRN-NP246236GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC CurrentSince Oct 27, 2023 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Oct 27, 2023 Accepting new patients
Atlanta Women's Health Group, P.C. Past Accepting new patients
Aung Tun MD PA PastSince Feb 1, 2022 Accepting new patients
American Heart Institute Inc PastSince Feb 1, 2022 Accepting new patients

Locations

10909 W Linebaugh Ave
Ste 104
Tampa, FL 33626
Phone (813) 920-1808

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

4321 N Macdill Ave
Ste 205
Tampa, FL 33607
Phone (813) 961-7440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1265184899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 295",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421544",
            "telephone_number": "404-255-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "VICTORIA",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP246236",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017713",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11017713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CLARK",
            "middle_name": "ALEXANDRIA",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.