NPI age
19 years
Enumerated 2007-01-04
● Active
Type 1 · Individual
DR. Shanelle A. Clarke, MD
Clarke is 1 of 53 pediatrics providers in Atlanta and 1 of 115 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 115 active pediatrics providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 77% — 22% of peers are multi-state
Subspecialties
1
In the 39% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
2220 N Druid Hills Rd Ne
Atlanta, GA 303293117
Mailing address
2970 Brandywine Rd Ste 125
Atlanta, GA 303415521
Specialties
-
Pediatrics PrimaryA 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,...
-
PediatricsA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | 34768400 | |
| 05 (GA) | 003170465A | |
| 05 (WI) | 1104973999 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 185 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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