MR. JAMES W TYSON VI MD
NPI 1114668415
Emergency Medicine in Marietta, GA
About Mr. James W Tyson Vi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAMES W TYSON VI MD (NPI 1114668415) is an individual emergency medicine provider in Marietta, Georgia, licensed in Georgia (103952) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. James W Tyson Vi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show James Tyson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, Georgia enrollment
- 586 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Walton Hospital
Acute Care Hospitals · Monroe, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is James Tyson's NPI number?
The NPI number for James Tyson is 1114668415. It was assigned to this individual provider in the NPPES registry on April 2, 2022.
Where is James Tyson located?
James Tyson practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.
What is James Tyson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is James Tyson enrolled in Medicare?
Yes. James Tyson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for James Tyson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Tyson reassigns Medicare benefits to Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Tyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is James Tyson affiliated with any hospitals?
According to CMS data, James Tyson is affiliated with Piedmont Walton Hospital and Piedmont Athens Regional Medical Center.
When was this NPI record last updated?
The NPPES record for James Tyson was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. James W Tyson Vi, MD · NPI 1114668415
Emergency Medicine physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since April 2, 2022.
## Identity
- **NPI:** 1114668415 (Entity type: Individual)
- **Enumerated:** April 2, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 103952 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (770) 793-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114668415) · Data from the CMS NPPES public registry.