Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Timothy L Clark, DO

Pediatrics Physician in Tifton, GA · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205576931

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Registry record

Entity type Individual (Type 1)

Name Timothy L Clark

Credential DO

Sex Male

Practice address 901 18th St E, Tifton, GA, 31794

Phone (229) 382-7120

Enumeration date Mar 30, 2022

Last updated in NPPES Jul 3, 2025

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 104963 (GA) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1205576931 active?

Yes, as of the latest NPPES snapshot, NPI 1205576931 is active (record last updated 2025-07-03).

How do I verify Timothy Clark's NPI record?

Cross-check NPI 1205576931 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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William Guest Pulmonary Disease Physician · Tifton, GA NPI 1003819467 Patricia Parrish Nurse Practitioner · Tifton, GA NPI 1053310433 Raymond Evans Diagnostic Radiology Physician · Tifton, GA NPI 1093708257 Kelley Douglas Diagnostic Radiology Physician · Tifton, GA NPI 1184617474 Robin Stoecker Diagnostic Radiology Physician · Tifton, GA NPI 1598758757 Tifton Radiology PC Diagnostic Radiology Physician · Tifton, GA NPI 1780677922 Wayne Stewart Diagnostic Radiology Physician · Tifton, GA NPI 1851384903 Jessica Beier Anatomic Pathology & Clinical Pathology Physician · Tifton, GA NPI 1366437444

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-03.