Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205576931 Individual Practitioner Male Practitioner

Dr. Timothy L Clark , DO

Pediatrics • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Clark, DO is a registered healthcare professional specializing in Pediatrics in Tifton, GA. Practice services are available at 901 18TH ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 18th St E

Tifton, GA 317943648

Telephone 2293827120
Associated Practice Facility / Clinic
🏢 Tifton Radiology Pc Facility NPI 1780677922

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tifton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Tifton, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Secondary Practice Locations

4700 Waters Ave

Savannah, GA 314046220

Phone: 9123508193

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Javeria Naseer , MBBS

Student in an Organized Health Care Education/Training Program

NPI 1003755984

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

David Atkins , APRN-BC

Nurse Practitioner - Family

NPI 1013926229

APRNBC

Dr. Matthew Pantsari , MD

Internal Medicine - Gastroenterology

NPI 1023084449

Doctor of Medicine (M.D.)

Donna Galliano , NP-C

Nurse Practitioner - Adult Health

NPI 1043552334

Nurse Practitioner (Certified)

Patricia Parrish , NP

Nurse Practitioner

NPI 1053310433

Nurse Practitioner

Hali Mallard , NP

Nurse Practitioner - Family

NPI 1053990788

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

📍
Updated Practice Location March 30, 2022

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

📍
Updated Business Mailing Address March 30, 2022

Registered at 4700 WATERS AVE, SAVANNAH, GA 314046220

👤
Provider Name / Credentials Updated 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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

Po Box 2650

Tifton, GA 317932650

Phone: 2293533422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.