MR. JAMES W TYSON VI MD
NPI 1114668415
Emergency Medicine in Marietta, GA

Active since April 02, 2022PECOS EnrolledAccepts Medicare Assignment
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1114668415
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. JAMES W TYSON VICredential: MD
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 2, 2022
Last NPPES UpdateAugust 30, 2025
NPPES CertifiedAugust 30, 2025
NPI 1114668415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 103952
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
677 CHURCH ST NE, Marietta, GA 30060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4688054406
PECOS Enrollment IDI20250923004543
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Physician 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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse
677 CHURCH ST NE
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.

Is James Tyson affiliated with any hospitals?

According to CMS data, James Tyson is affiliated with Piedmont Walton Hospital.

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 11 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.