Tyia Clark
NPI 1124523188 · Pediatrics Physician · Winston Salem, NC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyia Clark is a Pediatrics Physician provider in Winston Salem, NC (NPI 1124523188).
Provider details
- NPI number
- 1124523188
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6602 Knightdale Blvd Ste 204Knightdale, NC 27545-6567Phone: (919) 782-5273Fax: (919) 781-8853
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2023-12-14
- Certified
- 2023-12-14
Frequently asked questions
- What is Tyia Clark's NPI number?
- Tyia Clark's National Provider Identifier (NPI) is 1124523188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyia Clark's specialty?
- Tyia Clark is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tyia Clark located?
- Tyia Clark's practice location on file with NPPES is 3746 Vest Mill Rd, Winston Salem, NC 27103-2912.
- What is Tyia Clark's phone number?
- The practice phone number listed in the NPPES registry for Tyia Clark is (336) 713-0024.
- Does Tyia Clark accept Medicare?
- Tyia Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyia Clark's NPI active?
- Yes — Tyia Clark's NPI (1124523188) is active in the NPPES registry as of the last update on 2023-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.