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TIMOTHY CLARK DC
NPI 1629650502
Chiropractor in Greensboro, NC

Active since April 21, 2021
306 MUIRS CHAPEL RD STE A, GREENSBORO, NC 27410(336) 852-2222(336) 852-4844 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Clark Dc NPPES

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

TIMOTHY CLARK DC (NPI 1629650502) is an individual chiropractor in Greensboro, North Carolina, licensed in North Carolina (5291) and active in the NPI registry since April 2021. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2020).

NPPES Registry Identity

NPI1629650502
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTIMOTHY CLARKCredential: DC
Location Address306 MUIRS CHAPEL RD STE AGreensboro, NC 27410-6178
Mailing Address306 Muirs Chapel Rd Ste AGreensboro, NC 27410-6178 · (336) 852-2222 · Fax (336) 852-4844
Phone(336) 852-2222
Fax(336) 852-4844
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2020
Enumeration DateApril 21, 2021
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1629650502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 5291
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
306 MUIRS CHAPEL RD STE A, Greensboro, NC 27410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Clark Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193134930
PECOS Enrollment IDI20210507002368

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clark Chiropractic Offices
Same address
Chiropractor
306 MUIRS CHAPEL RD STE A
Greensboro, NC 27410
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1316726144 (336) 852-2222
Vardy Chiropractic And Wellness Clinics
85 mi
Chiropractor
2555 WENDELL BLVD
Wendell, NC 27591
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1366525149 (919) 366-3111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
142 services20 patients

Other Providers at the Same Location NPPES 2

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

CLARK CHIROPRACTIC OFFICES
Chiropractor
306 MUIRS CHAPEL RD STE A
GREENSBORO, NC 27410
Guilford County (336) 852-2222
MEYLOR CHIROPRACTIC OFFICES P.C.
Chiropractor
306 MUIRS CHAPEL RD STE A
GREENSBORO, NC 27410
Guilford County (336) 852-2222

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1629650502. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Timothy Clark located?

Timothy Clark practices at 306 Muirs Chapel Rd Ste A, Greensboro, NC 27410. The listed phone number is (336) 852-2222.

What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Clark enrolled in Medicare?

Yes. Timothy Clark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Clark reassigns Medicare benefits to 2 organizations: Clark Chiropractic Offices (Greensboro, NC) and Vardy Chiropractic And Wellness Clinics (Wendell, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Clark accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Timothy Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.