P Praxis·MD
● Active Type 1 · Individual

Tisharie Sydar Needham, NP

Nurse Practitioner·Conyers, GA· NPI 1780253229 · Enumerated 2021 · 4 years on NPI
Needham is 1 of 25 nurse practitioner providers in Conyers and 1 of 3206 in Georgia.
NPI age
4 years
Enumerated 2021-06-19
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
1412 Milstead Ave Ne
Conyers, GA 300123877
📞 4046052800
Mailing address
5665 Peachtree Dunwoody Rd
Atlanta, GA 303421764

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
5665 Peachtree Dunwoody Rd
Atlanta, GA 303421764
📞 0000000000
Location 3
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6783123294fax 6783123282

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...
    GA license #APRN-NP234785 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Conyers in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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