Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tlc of Georgia LLC

Organization Family Nurse Practitioner · NPI 1124407440

Tlc of Georgia LLC provides Family Nurse Practitioner services in Bonaire, Georgia. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

774 Ga Highway 96
Bonaire, GA 31005-3300
Phone: (478) 988-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1124407440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Shelly — Vp & General Manager · (615) 425-4200
NPI enumeratedMay 19, 2015
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address2620 Elm Hill Pike, Nashville, TN 37214-3108

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