Jelunder A Woodard Clark, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042544 Issued in GA

Practice address

1331 Mount Zion Rd
Morrow, GA 30260-2357

Phone

(770) 629-3217

Fax

(404) 666-0085

NPI assigned

Jul 13, 2006

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jelunder W Woodard Clark Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Physician Group LLC

  • Family Medicine Physician
  • Brookhaven, GA
  • NPI 1922579192
  Medicare reassignment NPD
• Wellness Medicine

  • Family Medicine Physician
  • Hampton, GA
  • NPI 1417428129
  NPD Authorized official
• PMR Georgia Holding, LLC

  dba Jencare Neighborhood Medical Center

  • Specialist
  • Miami Gardens, FL
  • NPI 1609329630

  GA

  Medicare reassignment
• Jencare Neighborhood Medical Center Morrow, LLC

  • Specialist
  • Morrow, GA
  • NPI 1336571868
  NPD
• Jencare Neighborhood Medical Center South Dekalb, LLC

  • Specialist
  • Decatur, GA
  • NPI 1912248345

  Family Medicine

  NPD (past)
• Jencare Neighborhood Medical Center West End, LLC

  • Specialist
  • Atlanta, GA
  • NPI 1366783524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1508881368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MOUNT ZION RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602357",
            "telephone_number": "770-629-3217",
            "fax_number": "404-666-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MOUNT ZION RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602357",
            "telephone_number": "770-629-3217",
            "fax_number": "404-666-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JELUNDER",
        "middle_name": "A WOODARD",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000949627A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JELUNDER",
            "last_name": "WOODARD CLARK",
            "middle_name": "W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Child, Youth, Adolescents, and Families
• Chrystal Care
• Quoc T Chu, DC
• City of Morrow (Morrow Fire Department)
• Janeen Clark
• Michael Ahart Clark, LMT
• Stephanie W. Clark, OT
• Clayton Center Mhaddd (Clayton CSB)
• Clayton County Juvenile Justice Fund (Clayton County System of Care)
• Clayton County Public Schools

• Family Medicine Physician in Morrow, GA
• Providers in Morrow, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.