TLC OF GEORGIA LLC
NPI 1033513015
Nurse Practitioner - Family in Dacula, GA

NPI Status: Active since October 20, 2014

Contact Information

505 DACULA RD
DACULA, GA
ZIP 30019
Phone: (678) 407-8750

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 11D2081171
  • CLIA Cert. Type: Other - HEALTH CARE CLINIC
  • CLIA Exp. Date: 07-20-2026

About TLC OF GEORGIA LLC

This page provides the complete NPI Profile along with additional information for Tlc Of Georgia Llc, a provider established in Dacula, Georgia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1033513015 assigned on October 2014. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Tlc Of Georgia Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Thomas Shelly (Vp & General Manager)

NPI
1033513015
Provider Name
TLC OF GEORGIA LLC
Entity Type
Organization
Location Address
505 DACULA RD DACULA, GA 30019
Location Phone
(678) 407-8750
Mailing Address
2620 ELM HILL PIKE NASHVILLE, TN 37214
Mailing Phone
(615) 425-4200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2014
Last Update Date
10-22-2025
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A nurse practitioner (NP) like Tlc Of Georgia Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS SHELLY

Authorized Official Title
VP & GENERAL MANAGER
Authorized Official Phone
(615) 425-4200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2081171
Facility Type
Other - HEALTH CARE CLINIC
Certificate Effective Date
July 21, 2024
Certificate Expiration Date
July 20, 2026
Laboratory Director
JOHN MICHAEL GRIGSBY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tlc Of Georgia Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033513015, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 0 + 1 + 6 + 0 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1033513015.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Pharmacy (Community/Retail Pharmacy)
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Pharmacist
505 DACULA RD
DACULA, GA 30019
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Pharmacist
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
505 DACULA RD
DACULA, GA 30019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033513015, enumerated as an "organization" on October 20, 2014.

The provider is located at 505 DACULA RD DACULA, GA 30019 and the phone number is (678) 407-8750.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.