Individual provider Active NPI

Tsitsi Muhoma-Nfodjo, FNP

  • Family Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1497308506
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN235177 Issued in GA
Practice address
4550 Cobb Parkway North NW Ste 201a
Acworth, GA 30101-4182
Phone
(770) 974-4655
Fax
(770) 974-7534
NPI assigned
Jul 17, 2019
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN235177 GA Primary

Addresses

Primary practice location

4550 Cobb Parkway North NW Ste 201a
Acworth, GA 30101-4182

Mailing address

609 Ceremony Way
Acworth, GA 30102-3730
Phone (502) 240-9037

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tlcpayorenrollment@thelittleclinic.com
Direct Messaging Address tmuhomanfodjo578565@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829003236 GA Practitioner - Nurse Practitioner 8628306552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

4550 Cobb Pkwy N NW
Acworth, GA 30101-4182

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN235177GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Northend Health and Wellness LLC Family CurrentSince Jun 9, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
TLC of Georgia LLC Family CurrentSince Jul 19, 2019 Accepting new patients

Locations

4550 Cobb Parkway North NW
Ste 201A
Acworth, GA 30101
Phone (770) 974-4655

800 Glenwood Ave SE
Atlanta, GA 30316
Phone (470) 447-5031

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

3240 S Cobb Dr SE
Smyrna, GA 30080
Phone (770) 433-3420

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1497308506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CEREMONY WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301023730",
            "telephone_number": "502-240-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW STE 201A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-974-4655",
            "fax_number": "770-974-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHOMA-NFODJO",
        "first_name": "TSITSI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN235177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlcpayorenrollment@thelittleclinic.com",
            "affiliation": "N",
            "address_1": "800 Glenwood Ave SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303161814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmuhomanfodjo578565@directwellstar.org",
            "affiliation": "N",
            "address_1": "4550 Cobb Parkway North NW Ste 201A",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.