NPIMap

Organization Active NPI

TLC Pediatrics & Family LLC

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1811523137
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TLC PEDIATRICS & FAMILY LLC
Practice address
22335 US Highway 72 Ste C
Suite C
Athens, AL 35613-2611
Phone
(256) 585-5626
Fax
(256) 870-4112
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Teairah Wilder, CRNPNPI 1689079790
Title
Owner/CRNP
Phone
(256) 870-4111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

22335 US Highway 72 Ste C
Suite C
Athens, AL 35613-2611

Mailing address

22335 US Highway 72 Ste C
Suite C
Athens, AL 35613-2611
Phone (256) 870-4111

National Provider Directory

National Provider Directory

Locations

22335 US Highway 72
Ste C
Athens, AL 35613
Phone (256) 233-5000

Practitioners & affiliated clinicians

Practitioners 4

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": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1811523137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-870-4111",
            "fax_number": "256-870-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22335 US HIGHWAY 72 STE C",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132611",
            "telephone_number": "256-585-5626",
            "fax_number": "256-870-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PEDIATRICS & FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "TEAIRAH",
        "authorized_official_title_or_position": "OWNER/CRNP",
        "authorized_official_telephone_number": "256-870-4111",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.