TLC OF GEORGIA LLC - NPI 1215331582 - Nurse Practitioner in Suwanee, GA

Q: What is Tlc Of Georgia LLC's NPI number?

The NPI number for Tlc Of Georgia LLC is 1215331582. It was assigned to this organization in the NPPES registry on October 15, 2014.

Q: What is Tlc Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Tlc Of Georgia Llc NPPES

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

TLC OF GEORGIA LLC (NPI 1215331582) is a healthcare organization registered as a family in Suwanee, Georgia and active in the NPI registry since October 2014. The organization lists Thomas Shelly, Vp & General Manager, as its authorized official.

NPPES Registry Identity

NPI1215331582

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameTLC OF GEORGIA LLC

Location Address400 PEACHTREE INDUSTRIAL BLVDSuwanee, GA 30024-6989

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200

Phone(770) 831-3857

Organization SubpartNo

Authorized OfficialThomas ShellyVp & General Manager · (615) 425-4200

Enumeration DateOctober 15, 2014

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1215331582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

400 PEACHTREE INDUSTRIAL BLVD, Suwanee, GA 30024

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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 6

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

MIJUNG OM PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

400 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024

Gwinnett County (770) 932-4373

EDEN ZERAI WOLDAI

Nurse Practitioner (Family)

400 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024

Gwinnett County (770) 831-3857

ADAORA IJEOMA IKEOKWU

Nurse Practitioner (Family)

400 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024

Gwinnett County (770) 831-3857

THE KROGER CO

Pharmacy (Community/Retail Pharmacy)

400 PEACHTREE INDUSTRIAL BLVD, STE 17
SUWANEE, GA 30024

Gwinnett County (770) 932-4373

MRS. ADELINE K LIADEY MSN, APRN, FNP-C

Nurse Practitioner (Family)

400 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024

Gwinnett County (615) 425-4200

ABIGAIL NEMATBAKHSH PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

400 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024

Gwinnett County (770) 932-4373

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 Tlc Of Georgia LLC's NPI number?

The NPI number for Tlc Of Georgia LLC is 1215331582. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Tlc Of Georgia LLC located?

Tlc Of Georgia LLC is located at 400 Peachtree Industrial Blvd, Suwanee, GA 30024. The listed phone number is (770) 831-3857.

What is Tlc Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tlc Of Georgia LLC was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.