Swayamprabha S Tyagi, MD - Pediatrics in Vidalia, GA

Swayamprabha S Tyagi, MD is a Pediatrics physician based in Vidalia, Georgia. Swayamprabha S Tyagi is licensed to practice in Georgia (license number 32318) and her current practice location is 414 Lugenia Dr, Vidalia, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 537-9355.

NPI number for Swayamprabha S Tyagi is 1720134166 and her current mailing address is 414 Lugenia Dr, Vidalia, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720134166.

Contact Information

Swayamprabha S Tyagi, MD
414 Lugenia Dr,
Vidalia, GA 30474-7210
(912) 537-9355
(912) 537-7038

Map and Direction




Physician's Profile

Full NameSwayamprabha S Tyagi
GenderFemale
SpecialityPediatrics
Location414 Lugenia Dr, Vidalia, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720134166
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 11/15/2016

Medical Identifiers

Medical identifiers for Swayamprabha S Tyagi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720134166NPI-NPPES
000517833FMedicaidGA
000517833HMedicaidGA
000517833BMedicaidGA
000517833IMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 32318 (Georgia)Primary
208000000XPediatrics 47063 (Arizona)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Swayamprabha S Tyagi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Swayamprabha S Tyagi, MD
414 Lugenia Dr,
Vidalia, GA 30474-7210

Ph: (912) 537-9355
Swayamprabha S Tyagi, MD
414 Lugenia Dr,
Vidalia, GA 30474-7210

Ph: (912) 537-9355

Reviews and Comments


Pediatrics Doctors in Vidalia, GA

Dr. Erin Breeann Lindholm, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Etta Wilcia Boss Cole, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 414 Lugenia Blvd, Vidalia, GA 30474
Phone: 912-537-9355    Fax: 912-537-7038
Lauren Courtney Miller, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Dr. Katrina Mcclane Leshanski, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Timothy Caron Horton, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1702 Meadows Ln Ste A, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Caryn J. Masterman-smith, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 125 Church St, Vidalia, GA 30474
Phone: 912-538-8484    Fax: 912-538-8665
Callie Wilkes,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474
Phone: 912-537-9355    

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