MONICA E CLARK C.N.M.
NPI 1316998719
Midwife in Marietta, GA

Q: What is Monica Clark's NPI number?

The NPI number for Monica Clark is 1316998719. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Monica Clark's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Q: Is Monica Clark enrolled in Medicare?

No. Monica Clark has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Monica Clark was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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 May 12, 2006Opted out of Medicare · through Jul 1, 2028

72 PLAZA WAY NW, MARIETTA, GA 30060(770) 422-8700(700) 425-7601 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Monica E Clark C.n.m. NPPES

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

MONICA E CLARK C.N.M. (NPI 1316998719) is an individual midwife in Marietta, Georgia, licensed in Georgia (RN0963644) and active in the NPI registry since May 2006. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316998719

Entity TypeIndividualFemale

Primary Taxonomy176B00000X

Provider Legal NameMONICA E CLARKCredential: C.N.M.

Location Address72 PLAZA WAY NWMarietta, GA 30060-1104

Mailing Address72 Plaza Way NwMarietta, GA 30060-1104 · (770) 422-8700 · Fax (700) 425-7601

Phone(770) 422-8700

Fax(700) 425-7601

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateNovember 2, 2009

✔ NPI 1316998719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers

Taxonomy Code176B00000X

License✔ Licensed in GA · RN0963644

Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

72 PLAZA WAY NW, Marietta, GA 30060

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Monica E Clark C.n.m. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

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