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NPI 1720426075
● Active Type 2 · Organization
Tallulah Trail Medical Associates, Llc
Internal Medicine · Warner Robins, GA · NPI 1720426075
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Enumerated 2013 · 12 years on NPI
Tallulah Trail Medical Associates, Llc is 1 of 5027 internal medicine organizations in Georgia.
NPI age
12 years
Enumerated 2013-06-10
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
King
President
Last NPPES update
2013-06-10
Source: monthly bulk 2026-05
How this organization compares
Across 5027 active internal medicine providers in Georgia.
NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2013 → 2026
2013-06 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
644 Tallulah Trl
Warner Robins, GA 310887625
📞 4783025270
Mailing address
644 Tallulah Trl
Warner Robins, GA 310887625
📞 4783025270
Authorized official
Norman W King
President
📞 4783025270
Individual providers at this organization
20 individual providers on file at this primary practice address.
Ellie Angley , RBT
Behavior Technician
NPI 1992487193
Fayanna Bain , RBT
Behavior Technician
NPI 1255226163
Miranda Brown , RBT
Behavior Technician
NPI 1225817513
Genyrah Butler-Singletary , RBT
Behavior Technician
NPI 1083479877
Ashley Cabello
Behavior Analyst
NPI 1245839562
Madeline Campos
Behavior Analyst
NPI 1629674403
Jamia Clark , RBT
Behavior Technician
NPI 1770451486
Kimberly Conner-Chatman , PA-C
Physician Assistant
NPI 1295754653
Ryan Conrad , RBT
Behavior Technician
NPI 1104683465
Chante Dix , BCBA
Behavior Analyst
NPI 1619442712
Shannon Donovan
Behavior Analyst
NPI 1548866296
Lyric Edwards , RBT
Behavior Technician
NPI 1013757921
Tamera Edwards , RBT
Behavior Technician
NPI 1306551551
Brittany Forbes
Behavior Analyst
NPI 1184295503
Caitlyn Gooch , RBT
Behavior Technician
NPI 1952016107
Sophia Grover , RBT
Behavior Technician
NPI 1386596088
Karonda Hall , RBT
Behavior Technician
NPI 1144935396
Tanius Harris , RBT
Behavior Technician
NPI 1891472890
Paige Harrison , RBT
Behavior Technician
NPI 1497460653
Josh Heffernan
Behavior Analyst
NPI 1043896384
Specialties
Internal Medicine
Primary
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
taxonomy 207R00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.