TLC OF GEORGIA LLC
NPI 1114476025
Nurse Practitioner - Family in Dawsonville, GA

NPI Status: Active since October 04, 2016

Contact Information

378 MARKETPLACE PKWY
DAWSONVILLE, GA
ZIP 30534
Phone: (678) 389-6509
Fax: (678) 389-6510

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 11D2119488
  • CLIA Cert. Type: Other - WALK IN HLTHCARE CLINIC
  • CLIA Exp. Date: 09-27-2026

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 Dawsonville, Georgia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1114476025 assigned on October 2016. 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
1114476025
Provider Name
TLC OF GEORGIA LLC
Entity Type
Organization
Location Address
378 MARKETPLACE PKWY DAWSONVILLE, GA 30534
Location Phone
(678) 389-6509
Location Fax
(678) 389-6510
Mailing Address
2620 ELM HILL PIKE NASHVILLE, TN 37214
Mailing Phone
(615) 425-4200
Mailing Fax
(678) 389-6510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2016
Last Update Date
10-22-2025
Code Navigator

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.

Location Map

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1750677241OTHER (01)GAGROUP NPI

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
11D2119488
Facility Type
Other - WALK IN HLTHCARE CLINIC
Certificate Effective Date
September 28, 2024
Certificate Expiration Date
September 27, 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 1114476025, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
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 1 → 2 4 → 8 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 8 + 7 + 1 + 2 + 0 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1114476025.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534
Pharmacist
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534
Pharmacist
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534
Pharmacist
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534
Nurse Practitioner (Family)
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534
Pharmacy (Community/Retail Pharmacy)
378 MARKETPLACE PKWY
DAWSONVILLE, GA 30534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114476025, enumerated as an "organization" on October 04, 2016.

The provider is located at 378 MARKETPLACE PKWY DAWSONVILLE, GA 30534 and the phone number is (678) 389-6509.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.