Organization · Type 2 NPI

Tiny Clinic, PC

Nurse Practitioner · Tallapoosa, GA

NPI number 1003498197 Active

Practice location

112 Head Ave
Tallapoosa, GA 30176-1219

Fax (470) 329-0422

Mailing address

618 Thornton Rd Ste 3-297
Lithia Springs, GA 30122-1518

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1003498197

Tiny Clinic, PC's National Provider Identifier is 1003498197, issued on Apr 27, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tallapoosa, GA. The record was last updated on Oct 30, 2025.