Organization Active NPI

Nurse Thicks Dot Solutions LLC

  • Health Service Clinic/Center
  • Ellenwood, GA
National Provider Identifier
1750124483
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NURSE THICKS DOT SOLUTIONS LLC
Practice address
5032 Old Grant Rd
Ellenwood, GA 30294-3529
Phone
(478) 220-0040
Fax
(404) 500-0925
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Authorized official

Name
Tennille Morris Hicks, FNP-BCNPI 1821608399
Title
Family Nurse Practitioner/ Owner
Phone
(678) 789-0762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

5032 Old Grant Rd
Ellenwood, GA 30294-3529

Mailing address

179 Cook Dr
Ellenwood, GA 30294-2617
Phone (678) 789-0762

National Provider Directory

National Provider Directory

Locations

1397 Cedar Grove Rd
Ste 14
Conley, GA 30288
Phone (478) 220-0040

5032 Old Grant Rd
Ellenwood, GA 30294
Phone (478) 220-0040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1750124483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 COOK DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942617",
            "telephone_number": "678-789-0762",
            "fax_number": "404-500-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 OLD GRANT RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302943529",
            "telephone_number": "478-220-0040",
            "fax_number": "404-500-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE THICKS DOT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TENNILLE",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "678-789-0762",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.