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DANIELLE TYSON NP
NPI 1164207296
Nurse Practitioner - Family in Macon, GA

Active since August 28, 2023PECOS Enrolled
6060 LAKESIDE COMMONS DR, MACON, GA 31210(478) 745-9204 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2024, Aug 28, 2023 (2 updates tracked since 2023).

About Danielle Tyson Np NPPES

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

DANIELLE TYSON NP (NPI 1164207296) is an individual family provider in Macon, Georgia, licensed in Georgia (280985) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164207296
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE TYSONCredential: NP
Location Address6060 LAKESIDE COMMONS DRMacon, GA 31210-5778
Mailing Address6060 Lakeside Commons DrMacon, GA 31210-5778 · (478) 745-9204
Phone(478) 745-9204
Sole ProprietorNo
Enumeration DateAugust 28, 2023
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1164207296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 280985
6060 LAKESIDE COMMONS DR, Macon, GA 31210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Tyson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRUITTHEALTH HOSPICE, INC.
Hospice Care, Community Based
6060 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 745-9204
PRUITTHEALTH HOSPICE, INC.
Internal Medicine (Hospice and Palliative Medicine)
6060 LAKESIDE COMMONS DR
MACON, GA 31210
Bibb County (478) 745-9204

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 Danielle Tyson's NPI number?

The NPI number for Danielle Tyson is 1164207296. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Danielle Tyson located?

Danielle Tyson practices at 6060 Lakeside Commons Dr, Macon, GA 31210. The listed phone number is (478) 745-9204.

What is Danielle Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danielle Tyson enrolled in Medicare?

Yes. Danielle Tyson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Tyson was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.