Robert T Stark MD,PC
Robert T Stark MD,PC is a healthcare organization registered as Preferred Provider Organization in Waycross, GA, holding Type 2 (organization) NPI 1053342774 since 2006. The authorized official on file is Robert Stark, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053342774 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Robert T Stark MD,PC |
| Practice address | 2005 PIONEER ST STE A, Waycross, GA, 31501 |
| Phone | 9122871621 |
| Fax | 9122871817 |
| Enumeration date | 2006-07-05 |
| Last updated in NPPES | 2010-10-01 |
Authorized official
| Name | Robert Stark |
|---|---|
| Title | Physician |
| Phone | 9122871621 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | Primary | 045632 | GA |
Copy-ready billing details
Provider: Robert T Stark MD,PC NPI: 1053342774 Taxonomy: 305R00000X (Preferred Provider Organization) Address: 2005 PIONEER ST STE A, Waycross, GA, 31501
Verify this record
Cross-check NPI 1053342774 against the authoritative CMS record: view Robert T Stark MD,PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Robert T Stark MD,PC?
Who is the authorized official for Robert T Stark MD,PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-10-01.