TYIA S. CLARK – NPI #1124523188
Pediatrics
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.
TYIA CLARK is a physician located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1124523188 to TYIA CLARK on March 29, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.
The NPI profile was previously updated about 2 years ago on Dec 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYIA CLARK below.
NPI Profile for
TYIA S. CLARK
(more than 8 years ago)
WINSTON-SALEM, NC 27103-2912 Phone: (336) 713-0024 Fax:
1 Other location(s):
Knightdale, NC 27545-6567
Phone: (919) 782-5273
Fax: (919) 781-8853
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208000000X - Pediatrics (Primary) |
NC | 2021-01599 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
6602 KNIGHTDALE BLVD STE 204,
KNIGHTDALE, NC 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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