DR. TIMOTHY ADAM CLARK MD
NPI 1669765756
Emergency Medicine in Rome, GA
About Dr. Timothy Adam Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY ADAM CLARK MD (NPI 1669765756) is an individual emergency medicine provider in Rome, Georgia, licensed in Georgia (69566) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy Adam Clark Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Timothy Clark reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calhoun, GA 30701
- Reassigned Medicare billing, Georgia enrollment
- 80 clinicians in this Medicare group
Chatsworth, GA 30705
- Reassigned Medicare billing, Georgia enrollment
- 55 clinicians in this Medicare group
Chattanooga, TN 37404
- Reassigned Medicare billing, Georgia enrollment
- 61 clinicians in this Medicare group
Haleyville, AL 35565
- Reassigned Medicare billing, Alabama enrollment
- 56 clinicians in this Medicare group
Haleyville, AL 35565
- Reassigned Medicare billing, Alabama enrollment
- 40 clinicians in this Medicare group
Winfield, AL 35594
- Reassigned Medicare billing, Alabama enrollment
- 18 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Tennessee enrollment
- 664 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROME, GA 30165
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 1669765756. It was assigned to this individual provider in the NPPES registry on May 23, 2011.
Where is Timothy Clark located?
Timothy Clark practices at 304 Shorter Ave NW Suite 201, Rome, GA 30165. The listed phone number is (706) 509-3334.
What is Timothy Clark's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Timothy Clark enrolled in Medicare?
Yes. Timothy Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 8 organizations: Gordon Emergency Physicians, LLC (Calhoun, GA), Murray Emergency Physicians, LLC (Chatsworth, GA), Chattanooga Emergency Medicine PLLC (Chattanooga, TN), Lakeland Physicians LLC (Haleyville, AL), Sycamore Lakeland LLC (Haleyville, AL) and 3 more organizations, listed in the Medicare section above. 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 Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Alabama 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 November 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Timothy Adam Clark, MD · NPI 1669765756
Emergency Medicine physician in Rome, Georgia. Individual provider, active in the CMS NPPES registry since May 23, 2011.
## Identity
- **NPI:** 1669765756 (Entity type: Individual)
- **Enumerated:** May 23, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 69566 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 304 SHORTER AVE NW, SUITE 201, Rome, GA 30165-4290
- **Phone:** (706) 509-3334 · **Fax:** (706) 509-4272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Gordon Emergency Physicians, LLC (NPI 1205290467, Calhoun, GA); Murray Emergency Physicians, LLC (NPI 1043783970, Chatsworth, GA); Chattanooga Emergency Medicine PLLC (NPI 1174739908, Chattanooga, TN); Lakeland Physicians LLC (NPI 1851780951, Haleyville, AL); Sycamore Lakeland LLC (NPI 1184472789, Haleyville, AL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** November 3, 2014
- **Other identifiers:** Medicaid 003134531A (GA); Medicaid 003134531F (GA); Medicaid 003134531D (GA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669765756) · Data from the CMS NPPES public registry.