NPI age
17 years
Enumerated 2008-08-12
● Active
Type 1 · Individual
DR. Manuel Nick Tissura
Tissura is 1 of 3 dentist providers in Decatur and 1 of 200 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 200 active dentist providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Practice location
2771 Lawrenceville Hwy, Suite 201
Decatur, GA 300332530
Mailing address
2771 Lawrenceville Hwy, Suite 201
Decatur, GA 300332530
Specialties
-
Dentist PrimaryThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 200 Dentist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.