NPI age
20 years
Enumerated 2006-02-28
● Active
Type 1 · Individual
Lowell Clark, MD
Clark is 1 of 6 pediatrics providers in MacOn and 1 of 77 in Georgia.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 77 active pediatrics providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
37% of peers hold multiple states
Subspecialties
1
In the 64% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
777 Hemlock St, Msc 83
MacOn, GA 312012102
Mailing address
777 Hemlock St, Msc 83
MacOn, GA 312012102
Specialties
-
Pediatrics PrimaryA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
-
PediatricsA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000138982C |
Practice context
Part of a multi-provider practice. 448 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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