Organization Active NPI

Tilmacare

  • Family Nurse Practitioner
  • Winder, GA
National Provider Identifier
1811779929
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TILMACARE
Practice address
138 Park Ave Ste 205
Winder, GA 30680-2365
Phone
(404) 777-5285
NPI assigned
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Halimatou Diallo, NPNPI 1265189708
Title
Owner
Phone
(404) 777-5285

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
Multi-Specialty Clinic/Center 261QM1300X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

138 Park Ave Ste 205
Winder, GA 30680-2365

Mailing address

138 Park Ave Ste 205
Winder, GA 30680-2365

National Provider Directory

National Provider Directory

Locations

138 Park Ave
Ste 205
Winder, GA 30680
Phone (404) 777-5285

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1811779929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PARK AVE STE 205",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PARK AVE STE 205",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802365",
            "telephone_number": "404-777-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILMACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "HALIMATOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-777-5285",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.