Active NPI
Victoria Alexandria Clark, APRN
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11017713
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11017713 | FL | MD | Family Nurse Practitioner |
| APRN-NP246236 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care Florida LLC | Current | Accepting new patients | |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Atlanta Women's Health Group, P.C. | Past | Accepting new patients | |
| Aung Tun MD PA | Past | Accepting new patients | |
| American Heart Institute Inc | Past | 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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Sandy Springs, GA
- NPI 1013971753
-
- Cardiovascular Disease Physician
- Zephyrhills, FL
- NPI 1679536270
-
dba Florida Heart Institue
- Cardiovascular Disease Physician
- Zephyrhills, FL
- NPI 1306959507
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.