KEANNA L. JOSEPH-CLARKE MD – NPI #1962579631
Pediatrics

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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

KEANNA JOSEPH-CLARKE is a physician located in CLARKSTON, GA. NPPES has assigned the NPI number 1962579631 to KEANNA JOSEPH-CLARKE on November 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 11 years ago on Nov 24, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEANNA JOSEPH-CLARKE below.

NPI Profile for
KEANNA L. JOSEPH-CLARKE

NPI Number
1962579631
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KEANNA L. JOSEPH-CLARKE
Credentials
MD
Primary location
4112 E PONCE DE LEON AVE
CLARKSTON, GA 30021-8106
Phone: (404) 296-7133 Fax: (404) 296-7211
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for KEANNA JOSEPH-CLARKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEGA061271
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
GA 061271

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.