KEANNA L JOSEPH-CLARKE (MD) – Pediatrics Physician, NPI 1962579631

KEANNA L JOSEPH-CLARKE (MD) is a healthcare provider. based in Clarkston, Georgia. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 061271 (GA). The NPI Number for KEANNA L JOSEPH-CLARKE (MD) is 1962579631

Main info

Female
Name
KEANNA L JOSEPH-CLARKE (MD)
NPI
1962579631
Phone
(404) 296-7133
Address
4112 E PONCE DE LEON AVE
Enumeration Date
29 November 2006
Last Update Date
24 November 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KEANNA L JOSEPH-CLARKE (MD)

  • 4112, East Ponce de Leon Avenue, Clarkston, DeKalb County, Georgia, 30021, United States

    CLARKSTON, GA 300218106

    Phone: (404) 296-7133

    Fax: (404) 296-7211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30021)

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Reviews

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Frequently asked questions

What NPI should I save for KEANNA L JOSEPH-CLARKE (MD)?
Save NPI 1962579631 if you need a stable reference for KEANNA L JOSEPH-CLARKE (MD).
Is KEANNA L JOSEPH-CLARKE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KEANNA L JOSEPH-CLARKE (MD) work in?
You can think of KEANNA L JOSEPH-CLARKE (MD) as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KEANNA L JOSEPH-CLARKE (MD)?
The page summarizes Clarkston, Georgia for KEANNA L JOSEPH-CLARKE (MD); expand the address list for detail.
Is KEANNA L JOSEPH-CLARKE (MD) a real provider?
This page reflects official NPPES data for NPI 1962579631. Always confirm identity and privileges with the practice and licensing boards.

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