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

Active since October 29, 2021Accepts Medicare Assignment
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: October 25, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mykiah Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769846609
PECOS Enrollment IDI20260202002292

Medicare Billing Reassignment

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

Rww Outpatient Rehab Services, LLC
171 mi
Clinic/Center
2892 S CHURCH ST UNIT A
Murfreesboro, TN 37127
  • Reassigned Medicare billing, Tennessee enrollment
  • 33 clinicians in this Medicare group
NPI 1528670775 (615) 447-9520

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mykiah Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mykiah Clark reassigns Medicare benefits to Rww Outpatient Rehab Services, LLC (Murfreesboro, TN). 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 Mykiah Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mykiah Clark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mykiah Clark 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 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 5 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.