P Praxis·MD
● Active Type 2 · Organization

Tiny Clinic, Pc

Nurse Practitioner·Tallapoosa, GA· NPI 1003498197 · Enumerated 2021 · 5 years on NPI
Tiny Clinic, Pc is 1 of 3206 nurse practitioner organizations in Georgia.
NPI age
5 years
Enumerated 2021-04-27
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wise
Owner / Authorized Officer
Last NPPES update
2025-10-30
Source: monthly bulk 2026-05

How this organization compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
112 Head Ave
Tallapoosa, GA 301761219
📞 9043828911fax 4703290422
Mailing address
618 Thornton Rd Ste 3-297
Lithia Springs, GA 301221518
📞 4046923189fax 4703290422

Authorized official

Marlana Jenese Wise, NP
Owner / Authorized Officer
📞 9043828911

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    (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...
    taxonomy 363L00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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