National Provider Identifier Database

SHANELLE A CLARKE, MD – NPI #1104973999
Pediatric Cardiology

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.


Contact Information

SHANELLE A CLARKE, MD
2220 N DRUID HILLS RD NE
ATLANTA, GA30329-3117
Phone: 404-256-2593
Fax: 770-488-9408
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Pediatric Critical Care Medicine 2080P0203X

* Indicates primary specialty

NPI Profile & details for SHANELLE A CLARKE

NPI Number 1104973999
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 04/24/2026 - About 1 months ago
Sole proprietor1 No
Identifiers
  • GA License #: 74968
  • WI License #: 50214
  • GA Medicaid: 003170465A
  • WI Medicaid: 1104973999
  • WI Medicaid: 34768400
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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