Individual provider · Type 1 NPI

Tisharie Sydar Needham, NP

Nurse Practitioner · Conyers, GA

NPI number 1780253229 Active

Practice location

1412 Milstead Ave NE
Conyers, GA 30012-3877

Mailing address

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Other practice locations

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 · (678) 312-3294
  • 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 · (000) 000-0000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP234785 (GA)

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…

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About NPI 1780253229

Tisharie Sydar Needham, NP's National Provider Identifier is 1780253229, issued on Jun 19, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Conyers, GA. The record was last updated on Mar 17, 2026.