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

Tisharie Sydar Needham, NP

Individual provider Nurse Practitioner · NPI 1780253229

Tisharie Sydar Needham, NP is a Nurse Practitioner in Conyers, Georgia. Qualified in 2021, 5 years ago. Practices with Northside Cardiovascular Professional Services, LLC, a 142-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone: (404) 605-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 — (000) 000-0000
  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-3294

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP234785 (GA)

Record details

NPI number1780253229
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 19, 2021
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northside Cardiovascular Professional Services, Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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