TLC of Georgia LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TLC OF GEORGIA LLC

Practice address

3600 Dallas Hwy SW
Marietta, GA 30064-1675

Phone

(770) 420-9170

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Marc R Watkins

Title

Cmo

Phone

(615) 425-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1386048742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 DALLAS HWY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641675",
            "telephone_number": "770-420-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "615-425-4200"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Andrea Tisdale
• Kyra Jessica Nicole Tito
• Abriyana Tivis, RBT
• Tka Home Care LLC (North Georgia Home Care LLC)
• Azeb Kidane Tkikil, NURSE PRACTITIONER
• TLC Strategies, LLC
• Vivian To
• Tobiah DME Network Incorporated
• Jimba T Tobins, MD
• Todd W Mullikin, DDS, PC

• Family Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.