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Active NPI 1780253229 Individual Practitioner Female Practitioner

Tisharie Sydar Needham , NP

Nurse Practitioner • Conyers, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tisharie Needham, NP is a certified Nurse Practitioner practicing in Conyers, GA. With approximately 5 years of clinical experience since completing medical education in 2021, Tisharie Needham delivers high-quality medical care to the local community at 1412 MILSTEAD AVE NE.

Tisharie Needham maintains professional affiliations with Piedmont Cardiology Of Atlanta, Llc, Northside Cardiovascular Professional Services, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1412 Milstead Ave Ne

Conyers, GA 300123877

Telephone 4046052800
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Conyers, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Conyers, GA (3149 Statewide)

Telehealth Adoption Rate
13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Needham (5 Years) 5 Yrs
Conyers Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA APRN-NP234785

(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 or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Piedmont Cardiology Of Atlanta, Llc

1412 Milstead Ave Ne, Conyers, GA 300123877

Phone: 7709183000

Northside Cardiovascular Professional Services, Llc

1000 Medical Ctr Blvd, Lawrenceville, GA 300467694

Phone: 6783121000

Secondary Practice Locations

1000 Medical Center Blvd

Lawrenceville, GA 300467694

Phone: 6783123294

5665 Peachtree Dunwoody Rd

Atlanta, GA 303421764

Phone: 0000000000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ashley Gore , NP-C

Nurse Practitioner - Family

NPI 1003130048

Nurse Practitioner (Certified)

Dr. Bobby Smith , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1013924828

Doctor of Medicine (M.D.)

Dr. Harold Carlson , MD

Internal Medicine - Interventional Cardiology

NPI 1023013315

Doctor of Medicine (M.D.)

Justin Hubbarth , PA

Physician Assistant - Medical

NPI 1023330222

Physician Assistant

Andrew Matey , NP

Nurse Practitioner

NPI 1023409836

Nurse Practitioner

Sarah Graff , NP

Nurse Practitioner - Acute Care

NPI 1023787454

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated March 17, 2026

Recorded as TISHARIE NEEDHAM, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2026

Nurse Practitioner (License #APRN-NP234785 in GA)

📍
Updated Practice Location June 22, 2022

Registered at 1412 MILSTEAD AVE NE, CONYERS, GA 300123877 (Tel: 4046052800)

📍
Updated Practice Location January 11, 2022

Registered at 5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 303421764 (Tel: 0000000000)

📍
Updated Business Mailing Address January 11, 2022

Registered at 5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 303421764

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Registered Nurse (License #RN234785 in GA)

NPI Profile Active June 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2021

Registered at 975 SPANISH MOSS TRL, LOGANVILLE, GA 300526733 (Tel: 6784888884)

📍
Updated Business Mailing Address June 19, 2021

Registered at 975 SPANISH MOSS TRL, LOGANVILLE, GA 300526733 (Tel: 6784888884)

👤
Provider Name / Credentials Updated June 19, 2021

Recorded as TISHARIE NEEDHAM-JACKSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2021

Nurse Practitioner (License #RN234785 in GA)

🟢
Initial NPI Registration & Enumeration June 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780253229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2021
Last Update: March 17, 2026
Sole Proprietor: No

Mailing Address

5665 Peachtree Dunwoody Rd

Atlanta, GA 303421764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.