Tiny Clinic, PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TINY CLINIC, PC

Practice address

112 Head Ave
Tallapoosa, GA 30176-1219

Phone

(904) 382-8911

Fax

(470) 329-0422

NPI assigned

Apr 27, 2021

Last updated

Oct 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marlana Jenese Wise, NP

Title

Owner / Authorized Officer

Phone

(904) 382-8911

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1003498197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 THORNTON RD STE 3-297",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221518",
            "telephone_number": "404-692-3189",
            "fax_number": "470-329-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HEAD AVE",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761219",
            "telephone_number": "904-382-8911",
            "fax_number": "470-329-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MARLANA",
        "authorized_official_middle_name": "JENESE",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICER",
        "authorized_official_telephone_number": "904-382-8911",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Cynthia Rogers
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• Tallapoosa RX LLC (Tallapoosa Drugs)
• Tallapoosa RX LLC (Tallapoosa Drugs)
• TMC Tallapoosa Family Healthcare Center
• Maggie Estelle Tobin, DC
• Uasi Wellness LLC
• Madison Elizabeth Uasi, APC-PENDING
• Joshua J. Wilburn, MD

• Nurse Practitioner in Tallapoosa, GA
• Providers in Tallapoosa, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.