DR. TIMOTHY ADAM CLARK MD
NPI 1669765756
Emergency Medicine in Rome, GA

Active since May 23, 2011PECOS EnrolledAccepts Medicare Assignment
304 SHORTER AVE NW, SUITE 201, ROME, GA 30165(706) 509-3334(706) 509-4272 Get Directions Write a Review

NPPES record last updated: November 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1669765756
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TIMOTHY ADAM CLARKCredential: MD
Location Address304 SHORTER AVE NW, SUITE 201Rome, GA 30165-4290
Mailing Address304 Shorter Ave Nw, Suite 201Rome, GA 30165-4290 · (706) 509-3334 · Fax (706) 509-4272
Fax(706) 509-4272
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 23, 2011
Last NPPES UpdateNovember 3, 2014
NPI 1669765756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 69566
Definition
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. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 69566 (GA)
304 SHORTER AVE NW, Rome, GA 30165

Other Identifiers 6

Medicaid003134531AGA
Medicaid003134531FGA
Medicaid003134531DGA
Medicaid003134531EGA
Medicaid003134531BGA
Medicaid003134531CGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7618119603
PECOS Enrollment IDI20150520001295, I20170824002014
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services79 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110236
Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County
Emergency services

Livingston Regional Hospital

Acute Care Hospitals · Livingston, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440187
Location315 Oak St Box 550Livingston, TN 38570 · Overton County
Emergency services Birthing friendly

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychiatry & Neurology (Psychiatry)
304 SHORTER AVE NW
ROME, GA 30165
Nurse Practitioner
304 SHORTER AVE NW, SUITE 102
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW, SUITE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW, SUITE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW, STE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW, STE 201
ROME, GA 30165
Family Medicine
304 SHORTER AVE NW, SUITE 103
ROME, GA 30165
Specialist/Technologist (Athletic Trainer)
304 SHORTER AVE NW, SUITE 101
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.

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.

Is Timothy Clark affiliated with any hospitals?

According to CMS data, Timothy Clark is affiliated with Chi Memorial Hospital- Georgia and Livingston Regional Hospital.

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.