TLC of Georgia LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TLC OF GEORGIA LLC

Doing business as

The Little Clinic

Practice address

1685 Old Pendergrass Rd
Jefferson, GA 30549-2705

Phone

(706) 387-7637

Fax

(706) 387-7638

NPI assigned

Jun 22, 2011

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Shelly

Title

VP & General Manager

Phone

(615) 425-4200

Specialties & licenses 1

Addresses

Other identifiers 18

Other names 1

• The Little Clinic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Pickerington, OH
  • NPI 1245255967

  Member Of

  NPD member

Locations

Practitioners 145

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Tope Adeleke, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1790383776
  NPD
• Michelle Marie Allen, ARNP-C

  • Family Nurse Practitioner
  • Bonaire, GA
  • NPI 1699199018
  NPD
• Adwoa Aninkorah

  • Family Nurse Practitioner
  • Dacula, GA
  • NPI 1831674340
  NPD
• Lyna Ashu

  • Family Nurse Practitioner
  • Dacula, GA
  • NPI 1932500600
  NPD
• Sharon Atkins

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1336770650
  NPD
• Idrissatu Bah, NP

  • Nurse Practitioner
  • Newnan, GA
  • NPI 1083237069

  Family

  NPD
• Ashley Banks, FNP-C

  • Family Nurse Practitioner
  • Braselton, GA
  • NPI 1073126439
  NPD
• Andrea Lynette Bell, FNP

  • Family Nurse Practitioner
  • Dawsonville, GA
  • NPI 1184269474
  NPD
• Anggia M Biggans, FNP-C

  • Family Nurse Practitioner
  • Buford, GA
  • NPI 1619558889

  Single Specialty

  NPD
• Jennifer Alice Boateng

  • Family Nurse Practitioner
  • Newnan, GA
  • NPI 1831817980
  NPD
• Jennifer Alison Broussard, NP

  • Family Nurse Practitioner
  • Reynolds, GA
  • NPI 1255852851
  NPD
• Brian Keith Brown, FNP-C

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1013595065

  Family

  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1750677241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 OLD PENDERGRASS RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492705",
            "telephone_number": "706-387-7637",
            "fax_number": "706-387-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1931 Jesse Jewell Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012519",
            "country_code": "US",
            "telephone_number": "470-252-3191",
            "fax_number": "470-252-3192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3240 S Cobb Dr SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804194",
            "country_code": "US",
            "telephone_number": "770-433-3447",
            "fax_number": "770-433-3448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Marketplace Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305347266",
            "country_code": "US",
            "telephone_number": "678-389-6509",
            "fax_number": "678-389-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Peachtree Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246989",
            "country_code": "US",
            "telephone_number": "770-831-3857",
            "fax_number": "770-831-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 Hartley Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312165641",
            "country_code": "US",
            "telephone_number": "478-788-2046",
            "fax_number": "478-788-2047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Nathan Dean Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301324921",
            "country_code": "US",
            "telephone_number": "770-505-3837",
            "fax_number": "770-505-3838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Dacula Rd",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300192125",
            "country_code": "US",
            "telephone_number": "678-407-8750",
            "fax_number": "678-407-8751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 Bethelview Rd",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300406859",
            "country_code": "US",
            "telephone_number": "678-456-4089",
            "fax_number": "678-456-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 Crosstown Dr",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302692916",
            "country_code": "US",
            "telephone_number": "770-282-2944",
            "fax_number": "770-282-2945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 Cumming Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sugar Hill",
            "state": "GA",
            "postal_code": "305186113",
            "country_code": "US",
            "telephone_number": "678-546-4062",
            "fax_number": "678-546-4112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Highway 29 N",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306011544",
            "country_code": "US",
            "telephone_number": "706-715-3746",
            "fax_number": "706-715-3747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "774 GA Hwy 96",
            "address_purpose": "LOCATION",
            "city": "Bonaire",
            "state": "GA",
            "postal_code": "31005",
            "country_code": "US",
            "telephone_number": "478-988-5711",
            "fax_number": "478-988-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Glenwood Ave SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303161814",
            "country_code": "US",
            "telephone_number": "470-447-5031",
            "fax_number": "470-447-5032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Barnett Shoals Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "30605",
            "country_code": "US",
            "telephone_number": "706-534-1693",
            "fax_number": "706-534-1694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Rockbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873064",
            "country_code": "US",
            "telephone_number": "770-413-1476",
            "fax_number": "770-498-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Main Street Market Pl SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301213307",
            "country_code": "US",
            "telephone_number": "770-606-5212",
            "fax_number": "770-606-5213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 S Park St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174433",
            "country_code": "US",
            "telephone_number": "678-664-3293",
            "fax_number": "678-664-3294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1751 Newnan Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30265",
            "country_code": "US",
            "telephone_number": "678-423-5854",
            "fax_number": "678-423-5855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TLC OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP & GENERAL MANAGER",
        "authorized_official_telephone_number": "615-425-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
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            "desc": "MEDICAID",
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    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Little Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Little Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Jefferson, GA
• Providers in Jefferson, 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 Oct 22, 2025; 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.