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Dr. Timothy L Clark , DO

Pediatrics • Tifton, GA

Active NPI 1205576931 Individual Practitioner Male Practitioner
Practice location in NPPES

901 18th St E
Tifton, GA 317943648

Call 2293827120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

901 18th St E

Tifton, GA 317943648

Telephone 2293827120
Organization at the Same NPPES Address or Phone
Tifton Radiology Pc Facility NPI 1780677922

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Savannah, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.34 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tifton and Georgia

19 active clinicians are listed under Pediatrics with a practice address in Tifton, GA (2,258 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tifton

0% of these 19 clinicians have the CMS telehealth indicator.

15.8% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $21.34.

Manufacturer Payment Nature Product Type Amount ($)
SOBI, INC
Food and Beverage
In-kind items and services
SYNAGIS General $21.34

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES GA 104963

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

4700 Waters Ave

Savannah, GA 314046220

Phone: 9123508193

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Parisa Abraham , MD

Internal Medicine

NPI 1275129744

Doctor of Medicine (M.D.)

Dr. Raymond Alvarez , DO

Internal Medicine

NPI 1063090462

Doctor of Osteopathic Medicine (D.O.)

Dr. Nicholas Arnold , MD

Internal Medicine

NPI 1497383293

Doctor of Medicine (M.D.)

Luanne Ashton , FNP

Nurse Practitioner - Family

NPI 1669078747

Family Nurse Practitioner

Logan Balkcom

Anesthesiologist Assistant

NPI 1891457768
Penny Booth , CFNP

Nurse Practitioner - Family

NPI 1710078423

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location July 03, 2025

Registered at 901 18TH ST E, TIFTON, GA 317943648 (Tel: 2293827120)

📍
Updated Business Mailing Address July 03, 2025

Registered at PO BOX 2650, TIFTON, GA 317932650 (Tel: 2293533422)

👤
Provider Name / Credentials Updated July 03, 2025

Recorded as TIMOTHY CLARK, DO

✅
NPI Profile Active March 30, 2022

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 30, 2022

Registered at 4700 WATERS AVE, SAVANNAH, GA 314046220 (Tel: 9123508193)

📍
Business Mailing Address (Initial Record) March 30, 2022

Registered at 4700 WATERS AVE, SAVANNAH, GA 314046220

👤
Provider Name / Credentials (Initial Record) March 30, 2022

Recorded as TIMOTHY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205576931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2022
Last Update: July 03, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Tifton

Healthcare providers in Tifton

Mailing Address

Po Box 2650

Tifton, GA 317932650

Phone: 2293533422

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.