Doctor profile · Federal record
Dr. Timothy Clark, DO
Pediatrics Physician · Student in an Organized Health Care Education/Training Program · Tifton, GA
- NPI 1205576931
- 4 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
901 18Th St E
Tifton, GA 317943648
(229) 382-7120 - Additional location
-
4700 Waters Ave
Savannah, GA 314046220
(912) 350-8193 - Mailing address
-
Po Box 2650
Tifton, GA 317932650
Credentials & registration
- NPI registered
- March 2022 — 4 yrs on file
- Profile last updated
- July 3, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Georgia #104963
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205576931. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sobi, INC | 1 | $21.34 |
By nature of payment
Frequently asked questions
What is Dr. Timothy Clark's medical specialty?
Dr. Timothy Clark practices Pediatrics Physician in Tifton, GA.
Where does Dr. Timothy Clark practice?
Dr. Timothy Clark practices at 901 18Th St E, Tifton, GA 317943648. Office phone: 2293827120.
What is Dr. Timothy Clark's NPI?
Dr. Timothy Clark's National Provider Identifier (NPI) is 1205576931, issued by NPPES.