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Tlc of Georgia LLC

Family Nurse Practitioner in Jefferson, GA · enumerated 2011 · authorized official Thomas Shelly, Vp & General Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750677241

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Registry record

Entity type Organization (Type 2)
Legal business name Tlc of Georgia LLC
Other name <Unavail>
Practice address 1685 Old Pendergrass Rd, Jefferson, GA, 30549
Fax (706) 387-7638
Enumeration date Jun 22, 2011
Last updated in NPPES Oct 22, 2025

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Thomas Shelly
Title Vp & General Manager

Other identifiers

Identifier Type State Issuer
003176618A Medicaid GA -
003152673A Medicaid GA -
003158723A Medicaid GA -
003159771A Medicaid GA -
003181344A Medicaid GA -
003152667A Medicaid GA -
003215523A Medicaid GA -
003162917A Medicaid GA -
003182733A Medicaid GA -
003151842A Medicaid GA -
003181503A Medicaid GA -
003152671A Medicaid GA -
003152675A Medicaid GA -
003162918A Medicaid GA -
003152677A Medicaid GA -
003152679A Medicaid GA -
003156403A Medicaid GA -
003161926A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Tlc of Georgia LLC?
Tlc of Georgia LLC is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-22.