| Stephen Charles Tyson, | |
|
1612 Milstead Rd Ne Ste B, Conyers, GA 30012-3738 | |
| (770) 388-7745 | |
| (770) 922-0526 |
| Full Name | Stephen Charles Tyson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 4 Years |
| Location | 1612 Milstead Rd Ne Ste B, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811568140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 10610 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Entity Name | Rockdale Anesthesia Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619028396 PECOS PAC ID: 4284536855 Enrollment ID: O20040123000436 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Charles Tyson, 4140 Alexis Ct, Loganville, GA 30052-9070 Ph: () - | Stephen Charles Tyson, 1612 Milstead Rd Ne Ste B, Conyers, GA 30012-3738 Ph: (770) 388-7745 |
Hyerim Nelson, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 Phone: 770-388-7745 | |
Sarah Buckner, AAPA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1388b Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-388-7745 Fax: 770-922-0526 | |
Alison N Colquitt, AAPA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1359 Milstead Rd Ne, Suite 103, Conyers, GA 30012 Phone: 770-388-7745 Fax: 770-922-0526 | |
Leeshah Kim, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Noah Beech Malone, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 |