P Praxis·MD
● Active Type 1 · Individual

Keanna L Joseph-Clarke, MD

Pediatrics·Clarkston, GA· NPI 1962579631 · Enumerated 2006 · 19 years on NPI
Joseph-Clarke is 1 of 11 pediatrics providers in Clarkston and 1 of 2726 in Georgia.
NPI age
19 years
Enumerated 2006-11-29
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-11-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
4112 E Ponce De Leon Ave
Clarkston, GA 300218106
📞 4042967133fax 4042967211
Mailing address
4112 E Ponce De Leon Ave
Clarkston, GA 300218106
📞 4042967133fax 4042967211

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #061271 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (GA) 061271 LICENSE

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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