Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Timothy Adam Clark, MD

Emergency Medicine Physician in Rome, GA · enumerated 2011.

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

National Provider Identifier

1669765756

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Registry record

Entity type Individual (Type 1)

Name Dr. Timothy Adam Clark

Credential MD

Sex Male

Practice address 304 Shorter Ave Nw, Suite 201, Rome, GA, 30165

Phone (706) 509-3334

Fax (706) 509-4272

Enumeration date May 23, 2011

Last updated in NPPES Nov 3, 2014

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 69566 (GA) Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 69566 (GA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
003134531D	Medicaid	GA	-
003134531E	Medicaid	GA	-
003134531C	Medicaid	GA	-
003134531A	Medicaid	GA	-
003134531B	Medicaid	GA	-
003134531F	Medicaid	GA	-

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.

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Frequently asked questions

What is the NPI number for Timothy Clark?

The National Provider Identifier (NPI) for Timothy Clark is 1669765756, a Type 1 (individual) record in the CMS NPPES registry.

Where does Timothy Clark practice?

The practice location on file with NPPES is in Rome, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-03.