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DR. SHANELLE A. CLARKE MD
NPI 1104973999
Pediatrics - Pediatric Cardiology in Atlanta, GA

Active since January 04, 2007PECOS Enrolled
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 256-2593(770) 488-9408 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2026, Jan 22, 2021, Jun 18, 2019 and 1 more (4 updates tracked since 2015).

About Dr. Shanelle A. Clarke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANELLE A. CLARKE MD (NPI 1104973999) is an individual pediatric cardiology provider in Atlanta, Georgia, licensed in Georgia (74968) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104973999
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SHANELLE A. CLARKECredential: MD
Location Address2220 N DRUID HILLS RD NEAtlanta, GA 30329-3117
Mailing Address2970 Brandywine Rd Ste 125Atlanta, GA 30341-5521 · (404) 256-2593 · Fax (770) 488-9408
Phone(404) 256-2593
Fax(770) 488-9408
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 24, 20264 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1104973999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in GA · 74968
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 50214 (WI)
2220 N DRUID HILLS RD NE, Atlanta, GA 30329
Open in Google Maps ↗

Other Identifiers 3

Medicaid34768400WI
Medicaid003170465AGA
Medicaid1104973999WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shanelle A. Clarke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shanelle Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Healthcare Of Atlanta Cardiology Inc
4.7 mi
Pediatric Cardiology
2970 BRANDYWINE RD STE 125
Atlanta, GA 30341
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Children's Healthcare Of Atlanta Cardiology Inc
  • 66 clinicians in this Medicare group
NPI 1235148727 (404) 256-2593

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOEL A. FRIEDLANDER DO
Pediatrics (Pediatric Gastroenterology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-3020
NICOLE COOLIDGE CPNP
Nurse Practitioner (Family)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-7683
YAW OWUSU MD
Pediatrics (Pediatric Cardiology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-9188
ASHWINI TILAK MD
Otolaryngology (Pediatric Otolaryngology)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
RONAK DAVE
Pediatrics
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (678) 491-9475
ELLEN OLSON CPNP
Nurse Practitioner (Pediatrics)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-1200
MRS. MADELINE CAGLE ALLSOPP RN
Nurse Practitioner (Pediatrics)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-5437
MARY GRACE ELIZABETH HENDERSON RN
Registered Nurse (Critical Care Medicine)
2220 N DRUID HILLS RD NE
ATLANTA, GA 30329
Dekalb County (404) 785-7574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanelle Clarke's NPI number?

The NPI number for Shanelle Clarke is 1104973999. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Shanelle Clarke located?

Shanelle Clarke practices at 2220 N Druid Hills Rd NE, Atlanta, GA 30329. The listed phone number is (404) 256-2593.

What is Shanelle Clarke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Shanelle Clarke enrolled in Medicare?

Yes. Shanelle Clarke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shanelle Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanelle Clarke reassigns Medicare benefits to Childrens Healthcare Of Atlanta Cardiology Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shanelle Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanelle Clarke accept?

Health plans from Alliant Health Plans, Inc. list Shanelle Clarke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanelle Clarke was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.