OrganizationActive
Tiny Clinic, PC
NPI 1003498197 · Nurse Practitioner · Tallapoosa, GA
Provider details
- NPI number
- 1003498197
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Marlana Wise, Owner / Authorized Officer(904) 382-8911
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 Head Ave
Tallapoosa, GA 30176-1219
Phone: (904) 382-8911
Fax: (470) 329-0422
Street-level locationGet directions
Mailing address
618 Thornton Rd Ste 3-297
Lithia Springs, GA 30122-1518
Registry dates
- Enumerated
- 2021-04-27
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.