Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiny Clinic, PC

Organization Nurse Practitioner · NPI 1003498197

Tiny Clinic, PC is a Nurse Practitioner in Tallapoosa, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Head Ave
Tallapoosa, GA 30176-1219
Phone: (904) 382-8911
Fax: (470) 329-0422
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1003498197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlana Wise — Owner / Authorized Officer · (904) 382-8911
NPI enumeratedApril 27, 2021
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address618 Thornton Rd Ste 3-297, Lithia Springs, GA 30122-1518

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