Timothy L. Clark, DO
NPI 1205576931ActiveIndividual· Pediatrics· Tifton, GA
Pediatrics (DO) in Tifton, Georgia, licensed in GA, with an NPI issued in March 2022. Sobi, Inc reported $21.34 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1205576931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 30, 2022 |
| Last updated in NPPES | Jul 3, 2025 |
| Certified by provider | Jul 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 104963 | GA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$21.34 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Sobi, Inc | $21.34 | 1 |
What the 2024 payments were for
- Food and Beverage$21.34 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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