MICHELE POOLE CLARK (NPI# 1346596921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346596921 |
| Entity Type | Individual |
| Full Name | MICHELE POOLE CLARK |
| Credential | RN, CNM |
| Practice Address |
2500 Hospital Blvd Suite 290 Roswell GA 30076-4907 |
| Mailing Address |
13350 Marrywood Dr Alpharetta GA 30004-5121 |
| Practice Telephone | 7706647013 |
| Mailing Telephone | 6783130273 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | RN093663 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003127300A | 05 | |
| GA | MEDICARE PTAN | 202I425668 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124163860 | Michele Quinlan Clark | Counselor | 167 Washington St Ste 42, Norwell, MA 02061-1797 | 2007-02-20 |
| 1255932299 | Michele May Clark | Counselor | 10800 Financial Centre Pkwy Ste 290, Little Rock, AR 72211-3581 | 2020-11-05 |
| 1215303995 | Michele C Clark | Counselor | 18612 Santa Ana Ave, Bloomington, CA 92316-2636 | 2015-08-17 |
| 1679955785 | Michele Clark | Physical Therapist | 790 N Highway 67 St, Florissant, MO 63031-5108 | 2015-06-25 |
| 1326326729 | Michele J Clark | Counselor | 289 Independence Blvd, Ste 245, Virginia Beach, VA 23462-5493 | 2011-08-02 |
| 1255591483 | Michele Clark | Social Worker | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2008-06-11 |
| 1134339740 | Michele Lynn Clark | Case Manager/Care Coordinator | 2040 Sutter Pl, Davis, CA 95616-6201 | 2007-05-23 |
| 1568587871 | Michele Lee Clark | Home Health Aide | 200 Sycamore St, Chillicothe, OH 45601-2653 | 2007-03-20 |
| 1922134147 | Michele Clark | Speech-Language Pathologist | 245 Lawn Market, Sharpsburg, GA 30277-1511 | 2007-02-23 |
| 1013066711 | Michele Clark | Counselor | 25 Court St, Montpelier, VT 05602-2812 | 2007-01-10 |
| Street Address |
2500 HOSPITAL BLVD SUITE 290 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748513 | Susanne Michele Hewitt | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2005-05-23 |
| 1447798715 | North Fulton Hearing Center LLC | Otolaryngology | 2500 Hospital Blvd, Suite 450, Roswell, GA 30076-4907 | 2017-02-07 |
| 1770941825 | Colorectal Pharmacy Inc | Pharmacy | 2500 Hospital Blvd, Suite 150-a, Roswell, GA 30076-4907 | 2016-02-03 |
| 1538403407 | North Fulton Pulmonary Specialists, LLC | Internal Medicine | 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 | 2012-11-16 |
| 1174888267 | Parvathi Rayudu | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2012-07-05 |
| 1588932669 | Georgia Spectrum Neurosurgical Specialists, LLC | Neurological Surgery | 2500 Hospital Blvd, Suite 310, Roswell, GA 30076-4907 | 2011-12-05 |
| 1083990501 | Georgia Gifts From Grace LLC | Obstetrics & Gynecology | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2011-10-28 |
| 1659664720 | Georgia North Fulton Healthcare Associates, LLC | Family Medicine | 2500 Hospital Blvd, Ste 340, Roswell, GA 30076-4977 | 2011-05-24 |
| 1255620159 | Bruce E Bosse Mdpc | Specialist | 2500 Hospital Blvd, Suite 440, Roswell, GA 30076-4907 | 2011-03-31 |
| 1609177039 | North Fulton Women's Consultants, LLC | Obstetrics & Gynecology | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4918 | 2010-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639612401 | Alyssa L. Gallegos | Advanced Practice Midwife | 350 W Country Club Rd Ste 203, Roswell, NM 88201-5221 | 2016-11-28 |
| 1730245747 | Kay Louise Johnson | Advanced Practice Midwife | 1360 Upper Hembree Road, Suite 101, Roswell, GA 30076 | 2006-12-28 |
| 1841243318 | Janet I Fedullo | Advanced Practice Midwife | 1360 Upper Hembree Rd Ste 101, Roswell, GA 30076-1230 | 2006-05-18 |
| 1235659897 | Brittany Latrese Ellison | Advanced Practice Midwife | 1015 Mansell Rd, Roswell, GA 30076-1507 | 2017-06-26 |
| 1720489305 | Nuria Nelkin | Advanced Practice Midwife | 1300 Upper Hembree Rd, Roswell, GA 30076-0927 | 2014-09-15 |
| 1124265756 | Sarah Petersen Whittington | Advanced Practice Midwife | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2009-01-20 |
| 1821040809 | Callie M Dodson | Advanced Practice Midwife | 305 W Country Club Rd, Roswell, NM 88201-5892 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352530 | Grace Midwifery & Women's Health | Advanced Practice Midwife | 4056 Wetherburn Way Ste 200, Peachtree Corners, GA 30092-1881 | 2020-09-30 |
| 1235766205 | Janet Simone Parks | Advanced Practice Midwife | 340 Boulevard Ne Ste 103, Atlanta, GA 30312-1278 | 2020-03-26 |
| 1215576632 | Angela Wilder Huber | Advanced Practice Midwife | 917 W Gordon St Ste A, Thomaston, GA 30286-3427 | 2020-01-02 |
| 1205472313 | Stephanie Lagoldia Cox | Advanced Practice Midwife | 5395 Jimmy Carter Blvd Ste 500, Norcross, GA 30093-1502 | 2019-11-24 |
| 1679047005 | Laura J Wallace | Advanced Practice Midwife | 115 Eagle Spring Dr Ste A200, Stockbridge, GA 30281-6486 | 2019-01-18 |
| 1740774470 | Linda Gail Legault | Advanced Practice Midwife | 2135 Independence Ln, Buford, GA 30519-8068 | 2018-06-16 |
| 1053812362 | Jacqueline Clubine | Advanced Practice Midwife | 285 Boulevard Ne Ste 520, Atlanta, GA 30312-4211 | 2018-02-22 |
| 1740793652 | Kwajalein Rontoya Cleveland | Advanced Practice Midwife | 550 Peachtree St Ne Ste 1165, Atlanta, GA 30308-2235 | 2017-11-14 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1003280215 | Vanessa Treaster | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290-2178 | 2015-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.