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TINY CLINIC, PC
NPI 1003498197
Nurse Practitioner in Tallapoosa, GA

Active since April 27, 2021
112 HEAD AVE, TALLAPOOSA, GA 30176(904) 382-8911(470) 329-0422 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiny Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINY CLINIC, PC (NPI 1003498197) is a healthcare organization registered as a nurse practitioner in Tallapoosa, Georgia and active in the NPI registry since April 2021. The organization lists Marlana Jenese Wise, Owner / Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1003498197
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTINY CLINIC, PC
Location Address112 HEAD AVETallapoosa, GA 30176-1219
Mailing Address618 Thornton Rd Ste 3-297Lithia Springs, GA 30122-1518 · (404) 692-3189 · Fax (470) 329-0422
Phone(904) 382-8911
Fax(470) 329-0422
Organization SubpartNo
Authorized OfficialMarlana Jenese WiseOwner / Authorized Officer · (904) 382-8911
Enumeration DateApril 27, 2021
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1003498197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
112 HEAD AVE, Tallapoosa, GA 30176
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARLANA HAYES NP-C
Nurse Practitioner
112 HEAD AVE
TALLAPOOSA, GA 30176
Haralson County (678) 573-8004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiny Clinic, PC's NPI number?

The NPI number for Tiny Clinic, PC is 1003498197. It was assigned to this organization in the NPPES registry on April 27, 2021.

Where is Tiny Clinic, PC located?

Tiny Clinic, PC is located at 112 Head Ave, Tallapoosa, GA 30176. The listed phone number is (904) 382-8911.

What is Tiny Clinic, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tiny Clinic, PC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.