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MYKIAH CLARK
NPI 1740944388
Speech-Language Pathologist in Gainesville, GA

Active since October 29, 2021
7985 KNIGHT RD, GAINESVILLE, GA 30506(770) 781-4899 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mykiah Clark NPPES

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

MYKIAH CLARK (NPI 1740944388) is an individual speech-language pathologist provider in Gainesville, Georgia and active in the NPI registry since October 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1740944388
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMYKIAH CLARK
Location Address7985 KNIGHT RDGainesville, GA 30506-6427
Mailing Address10205 Parker Forest DrDawsonville, GA 30534-3271 · (615) 987-9851
Phone(770) 781-4899
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1740944388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
7985 KNIGHT RD, Gainesville, GA 30506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mykiah Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769846609
PECOS Enrollment IDI20260202002292

Other Providers at the Same Location NPPES 15

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

ANNA WEATHERFORD
Occupational Therapist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899
TRAVIS AARON MONK PT, DPT
Physical Therapist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899
SUSAN M SHANNON OTR
Occupational Therapist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899
MS. KELLSEY JEAN KLOKER BS, MS OTR/L
Occupational Therapist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899
MRS. CARRIE LEIGH CLARK MS, PT
Physical Therapist (Pediatrics)
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899
ALEXIS ANN MULLANE
Occupational Therapist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (678) 770-9379
MS. THERESA MARIE TAKACS M.ED, CCC-SLP
Speech-Language Pathologist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899
DR. HILLARY MURPHY RAMOS PT, DPT, LAT, ATC
Physical Therapist
7985 KNIGHT RD
GAINESVILLE, GA 30506
Hall County (770) 781-4899

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 Mykiah Clark's NPI number?

The NPI number for Mykiah Clark is 1740944388. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Mykiah Clark located?

Mykiah Clark practices at 7985 Knight Rd, Gainesville, GA 30506. The listed phone number is (770) 781-4899.

What is Mykiah Clark's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mykiah Clark enrolled in Medicare?

Yes. Mykiah Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mykiah Clark was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.