DR. ROBERT TIMOTHY STARK MD NPI 1497794523

NPI Information

  • NPI: 1497794523
  • Provider Name: DR. ROBERT TIMOTHY STARK, MD
  • Classification: Obstetrics & Gynecology - 207VX0000X
  • Specialization: Obstetrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 SWEET BAY CT
    MOULTRIE, GA
    ZIP 31768
  • Phone: (229) 985-2198

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NPI Details

DR. Robert Timothy Stark, MD is an obstetrics obstetrics gynecology in Moultrie, GA with 32 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Robert Timothy Stark, MD NPI is 1497794523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1994

The provider's business location address is:

3 SWEET BAY CT
MOULTRIE, GA
ZIP 31768-784
Phone: (229) 985-2198

The NPI 1497794523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 9/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetrics45632GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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