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

Q: 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.

Q: What is Shanelle Clarke's specialty?

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

Q: 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 3 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.

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: August 16, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)