| Mrs Stephanie E Tyson, NP-C | |
|
134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 | |
| (706) 253-3100 | |
| (706) 253-3101 |
| Full Name | Mrs Stephanie E Tyson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 134 Mountainside Village Pkwy Ste 100, Jasper, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437683224 | NPI | - | NPPES |
| 003203586A | Medicaid | GA | |
| G04354A | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN200512 (Georgia) | Primary |
| Entity Name | Nsh Cancer Institute Professional Services G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144571381 PECOS PAC ID: 0840443164 Enrollment ID: O20130128000225 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie E Tyson, NP-C 1835 Savoy Dr Ste 300, Atlanta, GA 30341-1071 Ph: (706) 253-3100 | Mrs Stephanie E Tyson, NP-C 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 Ph: (706) 253-3100 |
Cristy Weems, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Noah Dr, Jasper, GA 30143 Phone: 706-253-1954 | |
Mrs. Mattie Elizabeth Hollar, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53 Gordon Rd Ste 101, Jasper, GA 30143 Phone: 706-692-9768 Fax: 706-692-4040 | |
Trang Mai Nguyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr, Suite 110a, Jasper, GA 30143 Phone: 706-299-2220 | |
Kimberly New Parker, FNP, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 | |
Brooke B Childers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Emily S Cummins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Old Philadelphia Rd Ste G100, Jasper, GA 30143 Phone: 678-971-4167 Fax: 706-253-7060 | |
Julie Freeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Noah Dr, Jasper, GA 30143 Phone: 706-253-1954 |