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TINY DUCKY, LLC
NPI 1629888474
General Practice in Marietta, GA

Active since January 13, 2025
2820 LASSITER RD STE 100, BLDG B, MARIETTA, GA 30062(770) 559-3186 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiny Ducky, Llc NPPES

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

TINY DUCKY, LLC (NPI 1629888474), doing business as Black Tie Health, is a healthcare organization registered as a general practice in Marietta, Georgia and active in the NPI registry since January 2025. The organization lists Jeremias Duarte, Physician, as its authorized official.

NPPES Registry Identity

NPI1629888474
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTINY DUCKY, LLC
Location Address2820 LASSITER RD STE 100, BLDG BMarietta, GA 30062-8332
Mailing Address2820 Lassiter Rd Ste 100, Bldg BMarietta, GA 30062-8332 · (770) 559-3186
Phone(770) 559-3186
Organization SubpartNo
Authorized OfficialJeremias DuartePhysician · (770) 559-3186
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1629888474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2820 LASSITER RD STE 100, Marietta, GA 30062
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Other Names 1

Doing Business AsBlack Tie Health

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.

LEGACY HEALTH & INJURY PARTNERS LLC
Integrative Medicine
2820 LASSITER RD STE 100
MARIETTA, GA 30062
Cobb County (770) 559-3186

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 Ducky, LLC's NPI number?

The NPI number for Tiny Ducky, LLC is 1629888474. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as Black Tie Health.

Where is Tiny Ducky, LLC located?

Tiny Ducky, LLC is located at 2820 Lassiter Rd Ste 100 Bldg B, Marietta, GA 30062. The listed phone number is (770) 559-3186.

What is Tiny Ducky, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Tiny Ducky, LLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.