LOWELL CLARK MD
NPI 1023085966
Pediatrics - Pediatric Critical Care Medicine in Macon, GA

Active since February 28, 2006
777 HEMLOCK ST, MSC 83, MACON, GA 31201(478) 633-7140 Get Directions Write a Review

NPPES record last updated: September 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lowell Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOWELL CLARK MD (NPI 1023085966) is an individual pediatric critical care medicine provider in Macon, Georgia, licensed in Georgia (017444) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1023085966
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameLOWELL CLARKCredential: MD
Location Address777 HEMLOCK ST, MSC 83Macon, GA 31201-2102
Mailing Address777 Hemlock St, Msc 83Macon, GA 31201-2102 · (478) 633-7140
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateSeptember 29, 2012
NPI 1023085966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in GA · 017444
Definition

A 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 medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 017444 (GA)
777 HEMLOCK ST, Macon, GA 31201

Other Identifiers 3

Medicare UPIND45069GA
Medicare ID-Type Unspecified37BBGKPGA
Medicaid000138982CGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Registered Nurse
777 HEMLOCK ST
MACON, GA 31201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lowell Clark's NPI number?

The NPI number for Lowell Clark is 1023085966. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Lowell Clark located?

Lowell Clark practices at 777 Hemlock St Msc 83, Macon, GA 31201. The listed phone number is (478) 633-7140.

What is Lowell Clark's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Lowell Clark was last updated on September 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.