Ms Christina Daniels Tyler, NPC | |
3755 Sixes Rd, Suite 100, Canton, GA 30114 | |
(770) 704-4580 | |
(770) 704-9142 |
Full Name | Ms Christina Daniels Tyler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 3755 Sixes Rd, Canton, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871666404 | NPI | - | NPPES |
212738189A | Medicaid | GA | |
153645 | Other | GA | LIC NUMBER |
1952395097 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RN153645NP (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN153645NP (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Transitional Care Physicians Of Georgia Pc | 4486895083 | 48 |
Chronic Disease Management Of Georgia Llc | 7618306721 | 64 |
Entity Name | Minuteclinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Entity Name | Transitional Care Physicians Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619317542 PECOS PAC ID: 4486895083 Enrollment ID: O20130724000471 |
Entity Name | Familylife Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437524337 PECOS PAC ID: 6406152669 Enrollment ID: O20160315000259 |
Entity Name | Chronic Disease Management Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699300939 PECOS PAC ID: 7618306721 Enrollment ID: O20200409003695 |
Entity Name | Careconnectmd Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063034387 PECOS PAC ID: 5890115190 Enrollment ID: O20201026000194 |
Mailing Address | Practice Location Address |
---|---|
Ms Christina Daniels Tyler, NPC 3755 Sixes Rd, Suite 100, Canton, GA 30114-7842 Ph: (770) 704-4580 | Ms Christina Daniels Tyler, NPC 3755 Sixes Rd, Suite 100, Canton, GA 30114 Ph: (770) 704-4580 |