TLC OF GEORGIA LLC (NPI# 1477945327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477945327 |
| Entity Type | Organization |
| Organization Name | TLC OF GEORGIA LLC |
| Practice Address |
1355 S Park St Carrollton GA 30117-4433 |
| Mailing Address |
2620 Elm Hill Pike Nashville TN 37214-3108 |
| Practice Telephone | 6786643293 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | MARC R WATKINS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6154254200 |
| Authorized Official Credential | MD |
| 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 |
| 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 |
| 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 |
| 1912399866 | Tlc of Georgia LLC | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2015-03-02 |
| Street Address |
1355 S PARK ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831123660 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1355 S Park St, Carrollton, GA 30117-4433 | 2006-07-10 |
| 1407470982 | Marie Roop | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4400 | 2020-06-01 |
| 1477185643 | Brittney Hall | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4433 | 2020-02-06 |
| 1316577174 | Vicki Diane Cowart | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4433 | 2020-01-21 |
| 1124658190 | Joshua Hartsell | Pharmacist | 1355 S Park St, Carrollton, GA 30117-4433 | 2020-01-18 |
| 1215415294 | Corshonta Wooden | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2018-08-01 |
| 1962908541 | Hope Elizabeth Nichols | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
| 1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
| 1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
| 1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
| 1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
| 1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
| 1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
| 1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
| 1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
| 1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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.