TLC OF GEORGIA LLC (NPI# 1750677241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750677241 |
| Entity Type | Organization |
| Organization Name | TLC OF GEORGIA LLC |
| Other Organization Name | THE LITTLE CLINIC |
| Practice Address |
1685 Old Pendergrass Rd Jefferson GA 30549-2705 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 6154254287 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-03-06 |
| 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 |
| Other Name | Type Code |
|---|---|
| The Little Clinic | Doing Business As Name - Organization |
| 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 |
| 1477945327 | Tlc of Georgia LLC | Nurse Practitioner | 1355 S Park St, Carrollton, GA 30117-4433 | 2015-03-02 |
| Street Address |
1685 OLD PENDERGRASS RD |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912028267 | The Kroger Co | Pharmacy | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2007-04-03 |
| 1356949770 | Celine Chinyere Akoh | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-10-16 |
| 1245862317 | Garnett Edward Zeagler | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-02-06 |
| 1790317857 | Brittany Michelle Wroe | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-02-06 |
| 1154951440 | Alice Alden Rowland | Pharmacist | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2020-01-25 |
| 1700362365 | Ying Rountree | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2018-07-17 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1114269016 | Virginia Lynn Gifford | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549-2705 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| 1619336005 | Heather Nicole Pickelsimer | Nurse Practitioner | 528 Panther Dr, Jefferson, GA 30549 | 2016-02-15 |
| Find all providers in zip 30549 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1942779772 | Rebekah Hawkins | Nurse Practitioner | 57 Slate Ave, Jefferson, GA 30549-8220 | 2018-11-22 |
| 1013431394 | Susan Eva Harrison Martinez | Nurse Practitioner | 1514 Jefferson Hwy Fl 1, Jefferson, LA 70121-2429 | 2017-07-28 |
| 1154843373 | Stephanie Ann Mason | Nurse Practitioner | 127 Park Dr, Jefferson, GA 30549-1269 | 2017-07-10 |
| 1548706443 | Christopher Touzeau | Nurse Practitioner | 4118 Camden Dr, Jefferson, MD 21755-7302 | 2017-01-16 |
| 1033660584 | Jenia Harris | Nurse Practitioner | 530 Brown St, Jefferson, LA 70121-2602 | 2016-10-19 |
| 1194111658 | Gretchen Geist | Nurse Practitioner | N4810 State Road 89, Jefferson, WI 53549-9629 | 2015-04-11 |
| Find all providers in JEFFERSON | ||||
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| 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.