TLC OF GEORGIA LLC (NPI# 1447702709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447702709 |
| Entity Type | Organization |
| Organization Name | TLC OF GEORGIA LLC |
| Practice Address |
3094 Watson Blvd Warner Robins GA 31093-8500 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 4789712324 |
| Practice Fax Number | 4789712329 |
| 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 |
| 1376095638 | Tlc of Georgia LLC | Nurse Practitioner | 564 Crosstown Dr, Peachtree City, GA 30269-2916 | 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 |
3094 WATSON BLVD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932393550 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2007-08-28 |
| 1922631035 | Benjamin Thompson Grimes | Pharmacist | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2020-02-17 |
| 1912539206 | James Allen Smith | Pharmacist | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2020-02-05 |
| 1477183424 | Katelyn Fuller | Pharmacist | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2020-01-17 |
| 1114374170 | Delores Hinton Weldon | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2016-05-19 |
| 1881061893 | Julia Elizabeth Thompson | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2015-08-25 |
| 1154587798 | Stacy Bankston Kalch | Nurse Practitioner | 3094 Watson Blvd, Warner Robins, GA 31093-8500 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657584 | Lindsey Marie Odessa | Nurse Practitioner | 623 S Houston Lake Rd Ste 200, Warner Robins, GA 31088-9094 | 2020-10-20 |
| 1598372401 | Cristy Lynn Palmer | Nurse Practitioner | 105 Tommy Stalnaker Dr Ste 1, Warner Robins, GA 31088-8035 | 2020-09-24 |
| 1396354619 | Vonteena Gizelle Cutter | Nurse Practitioner | 237 Smithville Church Rd Ste 100, Warner Robins, GA 31088-7803 | 2020-07-23 |
| 1164066106 | Jenna Rubin Franz | Nurse Practitioner | 109 Lake Front Dr, Warner Robins, GA 31088-6017 | 2019-11-02 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1114484201 | Yolanda Renee Strong | Nurse Practitioner | 2006 Karl Dr Apt 202, Warner Robins, GA 31088-9405 | 2019-02-25 |
| 1275045528 | Felicia Graddick | Nurse Practitioner | 108 Bald Eagle Trl, Warner Robins, GA 31093-1190 | 2017-10-26 |
| 1043620966 | Advanced Wellness Care P.C. | Nurse Practitioner | 108 Byrd Way, Suite 100, Warner Robins, GA 31088 | 2014-04-30 |
| 1649460080 | Tara Patricia Davis | Nurse Practitioner | 1000 Corporate Pointe Ste 120, Warner Robins, GA 31088-3440 | 2007-08-01 |
| 1588797195 | Gail Lanterman Heaberg | Nurse Practitioner | 105 Scarlett Dr, Warner Robins, GA 31088-2517 | 2007-03-13 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
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.