P Praxis·MD
● Active Type 2 · Organization

Robert T Stark Md,pc

Preferred Provider Organization·Waycross, GA· NPI 1053342774 · Enumerated 2006 · 19 years on NPI
Robert T Stark Md,pc is 1 of 109 preferred provider organization organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-05
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stark
Physician
Last NPPES update
2010-10-01
Source: monthly bulk 2026-05

How this organization compares

Across 109 active preferred provider organization providers in Georgia.

NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2005 Pioneer St Ste A
Waycross, GA 315016205
📞 9122871621fax 9122871817
Mailing address
2005 Pioneer St Ste A
Waycross, GA 315016205
📞 9122871621fax 9122871817

Authorized official

Robert Timothy Stark, M.D.
Physician
📞 9122871621

Specialties

  • Preferred Provider Organization Primary
    A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
    GA license #045632 taxonomy 305R00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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