TYLER KIRK LIPSCOMB MD
NPI 1124758032
Anesthesiology in Augusta, GA

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-2000 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2026, Jul 23, 2026 (2 updates tracked since 2026).

About Tyler Kirk Lipscomb Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER KIRK LIPSCOMB MD (NPI 1124758032) is an individual anesthesiology provider in Augusta, Georgia, licensed in Georgia (112961) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Emory Johns Creek Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2022).

NPPES Registry Identity

NPI1124758032
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTYLER KIRK LIPSCOMBCredential: MD
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address816 Oshields CtAugusta, GA 30907-1541 · (770) 298-4607
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2022
Enumeration DateJune 14, 2022
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1124758032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in GA · 112961
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1120 15TH ST, Augusta, GA 30912

Accepted Insurance

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

Tyler Kirk Lipscomb 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 ID5294115291
PECOS Enrollment IDI20260814000108
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyler Lipscomb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 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

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

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

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.

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Tyler Lipscomb's NPI number?

The NPI number for Tyler Lipscomb is 1124758032. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Tyler Lipscomb located?

Tyler Lipscomb practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2000.

What is Tyler Lipscomb's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Tyler Lipscomb enrolled in Medicare?

Yes. Tyler Lipscomb 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 organizations bill Medicare for Tyler Lipscomb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Lipscomb reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Tyler Lipscomb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Lipscomb accept?

Health plans from Oscar Health list Tyler Lipscomb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tyler Lipscomb affiliated with any hospitals?

According to CMS data, Tyler Lipscomb is affiliated with Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Lipscomb was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.