Hiroyuki Tada (NPI# 1710346895, PAC ID# 7911203708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1710346895 |
| PAC ID by PECOS | 7911203708 |
| Professional Enrollment ID | I20160303001946 |
| Full Name | Hiroyuki Tada |
| Organization Legal Name | TLC OF GEORGIA LLC |
| Address |
400 Peachtree Industrial Blvd Suwanee GA 30024-6989 |
| Phone Number | 7708313857 |
| Gender | M |
| Medical School | GEORGIA COLLEGE OF ECLECTRIC MEDICINE AND SURGERY |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496924490 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 378 Marketplace Pkwy, Dawsonville, GA 30534-7266 | 6783896509 | TLC OF GEORGIA LLC |
| 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 | 7704209170 | TLC OF GEORGIA LLC |
| 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 | 7708313857 | TLC OF GEORGIA LLC |
| Organization Legal Name | TLC OF GEORGIA LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Willis Pitts | Nurse Practitioner | Tlc of Georgia LLC | 1931 Jesse Jewell Pkwy Se, Gainesville, GA 30501-2519 |
| Corshonta Shaleik Wooden | Nurse Practitioner | Tlc of Georgia LLC | 1355 S Park St, Carrollton, GA 30117-4433 |
| Sharde' Elixia Parkman | Nurse Practitioner | Tlc of Georgia LLC | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 |
| Mollie Renee Brusca | Nurse Practitioner | Tlc of Georgia LLC | 10945 State Bridge Rd, Alpharetta, GA 30022-8164 |
| Amanda Raenelle Watt | Nurse Practitioner | Tlc of Georgia LLC | 744 Ga Hwy 96, Bonaire, GA 31005-3300 |
| Woinshet K Tesfaye | Nurse Practitioner | Tlc of Georgia LLC | 455 Nathan Dean Blvd, Dallas, GA 30132-4921 |
| Michelle Demaro | Nurse Practitioner | Tlc of Georgia LLC | 3094 Watson Blvd, Warner Robins, GA 31093-8500 |
| Casey Jones Elliott | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Petra Nozile | Nurse Practitioner | Tlc of Georgia LLC | 564 Crosstown Dr, Peachtree City, GA 30269-2916 |
| Pamela L Allen | Nurse Practitioner | Tlc of Georgia LLC | 125 W Main St, Cartersville, GA 30120-3507 |
| Street Address |
400 PEACHTREE INDUSTRIAL BLVD |
| City | SUWANEE |
| State | GA |
| Zip | 30024-6989 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Jones Elliott | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Jonathan Cueto | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Aundre R Mitchell | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Ying Rountree | Nurse Practitioner | Tlc of Georgia LLC | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Malcolm M Traxler Jr. | Internal Medicine | Evergreen Primary Care and Wellness PC | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Find all physicians in zip 30024 | |||
| City | SUWANEE |
| Zip Code | 30024 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUWANEE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.