P Praxis·MD
● Active Type 1 · Individual

DR. Timothy Adam Clark, MD

Emergency Medicine·Rome, GA· NPI 1669765756 · Enumerated 2011 · 15 years on NPI
Clark is 1 of 28 emergency medicine providers in Rome and 1 of 1991 in Georgia.
NPI age
15 years
Enumerated 2011-05-23
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-11-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1991 active emergency medicine providers in Georgia.

NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
1
In the 41% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
304 Shorter Ave Nw, Suite 201
Rome, GA 301654290
📞 7065093334fax 7065094272
Mailing address
304 Shorter Ave Nw, Suite 201
Rome, GA 301654290
📞 7065093334fax 7065094272

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    GA license #69566 taxonomy 207P00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #69566 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 003134531D
05 (GA) 003134531E
05 (GA) 003134531C
05 (GA) 003134531A
05 (GA) 003134531B
05 (GA) 003134531F

Practice context

Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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