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PEDIATRIC & ADOLESCENT CLINIC
NPI 1710015318
Pediatrics in Vidalia, LA

Active since March 02, 2007
1806 CARTER ST, VIDALIA, LA 71373(318) 336-7172(318) 336-7176 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric & Adolescent Clinic NPPES

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

PEDIATRIC & ADOLESCENT CLINIC (NPI 1710015318) is a healthcare organization registered as a pediatrics in Vidalia, Louisiana and active in the NPI registry since March 2007. The organization lists David Alan Timm, Owner, as its authorized official.

NPPES Registry Identity

NPI1710015318
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDAVID ALAN TIMM
Location Address1806 CARTER STVidalia, LA 71373-3115
Mailing Address1806 Carter StVidalia, LA 71373-3115 · (318) 336-7172 · Fax (318) 336-7176
Phone(318) 336-7172
Fax(318) 336-7176
Organization SubpartNo
Authorized OfficialDavid Alan TimmOwner · (601) 442-7676
Enumeration DateMarch 2, 2007
Last NPPES UpdateDecember 9, 2009
✔ NPI 1710015318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in LA · 016299✔ Licensed in LA · MD016299
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APO4933 (LA), APO4870 (LA)
1806 CARTER ST, Vidalia, LA 71373
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Other Names 1

Doing Business AsPediatric & Adolescent Clinic

Other Identifiers 1

Medicaid1021829LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

PEDIATRIC & ADOLESCENT CLINIC OF LOUISIANA LLC
Clinic/Center (Rural Health)
1806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 336-7172
NATCHEZ REGIONAL CLINIC
Family Medicine
1806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 336-8166
J KEVIN INGRAM MEDICAL, INC
Family Medicine
1806 CARTER ST
VIDALIA, LA 71373
Concordia Parish (318) 757-6526

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 David Alan Timm's NPI number?

The NPI number for David Alan Timm is 1710015318. It was assigned to this organization in the NPPES registry on March 2, 2007. The provider is doing business as Pediatric & Adolescent Clinic.

Where is David Alan Timm located?

David Alan Timm is located at 1806 Carter St, Vidalia, LA 71373. The listed phone number is (318) 336-7172.

What is David Alan Timm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for David Alan Timm was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.