Active NPI
Nurse Thicks Dot Solutions LLC
- Health Service Clinic/Center
- Ellenwood, GA
National Provider Identifier
1750124483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tennille Morris Hicks, FNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Ellenwood, GA
- NPI 1821608399
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.