TLC OF GEORGIA LLC (NPI# 1376095638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376095638 |
| Entity Type | Organization |
| Organization Name | TLC OF GEORGIA LLC |
| Practice Address |
564 Crosstown Dr Peachtree City GA 30269-2916 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 7702822944 |
| Practice Fax Number | 7702822945 |
| Mailing Telephone | 6154254200 |
| Mailing Fax Number | 6158915244 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MARC R WATKINS (CMO) |
| Authorized Official Telephone | 6154254200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GROUP NPI | 1750677241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164827853 | Tlc of Georgia LLC | Nurse Practitioner | 1931 Jesse Jewell Pkwy, Gainesville, GA 30501-2500 | 2014-10-24 |
| 1396149373 | Tlc of Georgia LLC | Nurse Practitioner | 6001 Cumming Hwy Ste 1, Sugar Hill, GA 30518-6113 | 2014-10-20 |
| 1447702709 | Tlc of Georgia LLC | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2016-11-02 |
| 1205385119 | Tlc of Georgia LLC | Nurse Practitioner | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2016-10-04 |
| 1114476025 | Tlc of Georgia LLC | Nurse Practitioner | 378 Marketplace Pkwy, Dawsonville, GA 30534-7266 | 2016-10-04 |
| 1225587421 | Tlc of Georgia LLC | Nurse Practitioner | 125 W Main St, Cartersville, GA 30120-3507 | 2016-09-28 |
| 1386193571 | Tlc of Georgia LLC | Physician Assistant | 4321 Hartley Bridge Rd, Macon, GA 31216-5641 | 2016-09-28 |
| 1124407440 | Tlc of Georgia LLC | Nurse Practitioner | 774 Ga Highway 96, Bonaire, GA 31005-3300 | 2015-05-19 |
| 1477945327 | Tlc of Georgia LLC | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2015-03-02 |
| 1912399866 | Tlc of Georgia LLC | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2015-03-02 |
| Street Address |
564 CROSSTOWN DR |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558395384 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 564 Crosstown Dr, Peachtree City, GA 30269-2916 | 2006-07-10 |
| 1427680958 | Mark Frazier Hurley | Pharmacist | 564 Crosstown Dr, Peachtree City, GA 30269-2916 | 2020-02-12 |
| 1801427356 | Lisa Rogers | Pharmacist | 564 Crosstown Dr, Peachtree City, GA 30269-2916 | 2020-02-03 |
| 1508497116 | Kaitlyn Hudson | Pharmacist | 564 Crosstown Dr, Peachtree City, GA 30269-2916 | 2020-02-01 |
| 1265931174 | Richard Talley Harrell | Pharmacist | 564 Crosstown Dr, Peachtree City, GA 30269-2916 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922567684 | Kimberly Anne Scholler | Nurse Practitioner | 407 Henredon Hl, Peachtree City, GA 30269-3213 | 2019-03-12 |
| 1760950836 | Heather Rasnake Gilbert | Nurse Practitioner | 2011 Commerce Dr N Ste 10, Peachtree City, GA 30269-3538 | 2018-11-07 |
| 1164924601 | Ladonna Sheree Doxie | Nurse Practitioner | 125 Governors Sq, Peachtree City, GA 30269-4871 | 2018-03-01 |
| 1871038679 | April Davis Roshak | Nurse Practitioner | 106 Harbor Loop, Peachtree City, GA 30269-2103 | 2017-01-03 |
| 1750418471 | Deborah Howell | Nurse Practitioner | 108 Suttons Cv, Peachtree City, GA 30269-6939 | 2007-02-28 |
| 1891831814 | Lisa Jeannine Crow Demars | Nurse Practitioner | 304 Pinemount Dr, Peachtree City, GA 30269-1237 | 2007-01-29 |
| 1427092394 | Sonya D Wade | Nurse Practitioner | 101 Lexington Cir, Peachtree City, GA 30269-6845 | 2006-06-15 |
| 1427003078 | Sandra Nicole Salter | Nurse Practitioner | 14 Eastbrook Bnd Ste 201, Peachtree City, GA 30269 | 2006-05-23 |
| 1487271169 | Lea D Aspinwall | Nurse Practitioner | 14 Eastbrook Bnd Ste 201, Peachtree City, GA 30269-1521 | 2020-06-29 |
| 1003460320 | Dena Michelle Singleton | Nurse Practitioner | 1401 Georgian Park Ste 200, Peachtree City, GA 30269-6974 | 2019-07-25 |
| Find all providers in PEACHTREE CITY | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on TLC OF GEORGIA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.