Tbi3 Georgia LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TBI3 GEORGIA LLC

Practice address

4319 Covington Highway Decatur
Ste 209
Decatur, GA 30035

Phone

(678) 977-1792

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Amanda Rutledge

Title

Coo

Phone

(936) 648-5161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1649851627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764892",
            "telephone_number": "936-648-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HIGHWAY DECATUR",
            "address_2": "STE 209",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "678-977-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI3 GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "936-648-5161"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Suzanne Taylor, PSYD
• Michelle Rose Nicole Taylor
• Sybil Howard Taylor
• Tangenique Taylor, OTR/L
• Tbi Diagnostic Centers of Georgia
• Valerie Tchinang, CNM
• TD Wellness, LLC (Orozco Nutrition)
• Team Management 2000 Inc
• Teddy Dental Inc
• Brad T Tedford, LPC

• Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.