Mykiah Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7985 Knight Rd
Gainesville, GA 30506-6427

Phone

(770) 781-4899

NPI assigned

Oct 29, 2021

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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• RWW Outpatient Rehab Services, LLC

  • Physical Therapist
  • Hendersonville, TN
  • NPI 1770148793
  Medicare reassignment Care Compare group
• Warrior Therapy Services, LLC

  • Speech-Language Pathologist
  • Dawsonville, GA
  • NPI 1568189934
  NPD Authorized official
• Walker Therapy Services

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1679523302

  Speech-Language Pathologist

  NPD
• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461
  NPD
• RWW Outpatient Rehab Services, LLC

  • Clinic/Center
  • Murfreesboro, TN
  • NPI 1528670775
  NPD

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1740944388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 PARKER FOREST DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305343271",
            "telephone_number": "615-987-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 KNIGHT RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066427",
            "telephone_number": "770-781-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MYKIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Leigh Clark, MS, PT
• Hailey Clark
• Kara Schneider Clark, FNP-C
• Lillee Clark, PH.D.
• Mark D Clark, FNP
• Nancy G Clark, CRNA
• Tonya Brook Clark
• Veleria Kay Clark
• Tamara Clarke, L.AC., DIPL OM
• Clearview Optical

• Speech-Language Pathologist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.