TYRISA BURDINE SPECIALIST
NPI 1184201782
Specialist - Prosthetics Case Management in Lithia Springs, GA

Q: What is Tyrisa Burdine's NPI number?

The NPI number for Tyrisa Burdine is 1184201782. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Tyrisa Burdine's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

Q: When was this NPI record last updated?

The NPPES record for Tyrisa Burdine was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since March 28, 2021

351 THORNTON RD STE 118, LITHIA SPRINGS, GA 30122(865) 455-8410 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tyrisa Burdine Specialist NPPES

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

TYRISA BURDINE SPECIALIST (NPI 1184201782) is an individual prosthetics case management provider in Lithia Springs, Georgia, licensed in Georgia (CO131275) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1184201782

Entity TypeIndividualFemale

Primary Taxonomy1744P3200X

Provider Legal NameTYRISA BURDINECredential: SPECIALIST

Location Address351 THORNTON RD STE 118Lithia Springs, GA 30122-1589

Mailing Address351 Thornton Rd Ste 118Lithia Springs, GA 30122-1589 · (865) 455-8410

Phone(865) 455-8410

Sole ProprietorYes

Enumeration DateMarch 28, 2021

NPPES CertifiedMarch 28, 2021

✔ NPI 1184201782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers

Taxonomy Code1744P3200X

License✔ Licensed in GA · CO131275

Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

351 THORNTON RD STE 118, Lithia Springs, GA 30122

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tyrisa Burdine's NPI number?

The NPI number for Tyrisa Burdine is 1184201782. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Tyrisa Burdine located?

Tyrisa Burdine practices at 351 Thornton Rd Ste 118, Lithia Springs, GA 30122. The listed phone number is (865) 455-8410.

What is Tyrisa Burdine's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Tyrisa Burdine was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.