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Tlc of Georgia LLC

NPI 1376095638ActiveOrganization· Nurse Practitioner, Family· Peachtree City, GA

Nurse Practitioner, Family in Peachtree City, Georgia, registered in NPPES in November 2016. The authorized official on file is Thomas Shelly, Vp & General Manager.

Overview

NPI1376095638
StatusActive
Entity typeOrganization
NPI issuedNov 2, 2016
Last updated in NPPESOct 22, 2025
Certified by providerOct 22, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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