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DAVID AARON TYSON MD
NPI 1194305300
Psychiatry & Neurology - Psychiatry in Jacksonville, FL

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
841 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 32207(904) 344-3489 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Jun 22, 2023, Apr 12, 2021 (3 updates tracked since 2021).

About David Aaron Tyson Md NPPES

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

DAVID AARON TYSON MD (NPI 1194305300) is an individual psychiatry provider in Jacksonville, Florida, licensed in North Carolina (RTL21-0368) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Florida College Of Medicine (2021).

NPPES Registry Identity

NPI1194305300
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDAVID AARON TYSONCredential: MD
Location Address841 PRUDENTIAL DR STE 1100Jacksonville, FL 32207-8352
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-1406
Phone(904) 344-3489
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1194305300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · RTL21-0368
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
841 PRUDENTIAL DR STE 1100, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1203 Fort Wade RdPonte Vedra, FL 32081-5158 · Phone (904) 344-3627
Location 2255 Primera Blvd Ste 264Lake Mary, FL 32746-2148 · Phone (689) 206-0540
Location 32100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-1406
Location 49102 Southpark Center Loop Ste 120Orlando, FL 32819-8626 · Phone (689) 282-6774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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

David Aaron Tyson 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 ID4688075682
PECOS Enrollment IDI20250416000187
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 Reassignment

Medicare enrollment records show David Tyson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Tms Centers LLC
1,832 mi
Psychiatry
3300 N TRIUMPH BLVD STE 500
Lehi, UT 84043
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1710492095 (801) 821-2781

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

CRISTINA MARIXA LOPEZ SEILER RN
Nurse Practitioner (Psychiatric/Mental Health)
841 PRUDENTIAL DR STE 1100
JACKSONVILLE, FL 32207
Duval County (904) 328-7379
FRANK N ANTHONY MD
Psychiatry & Neurology (Psychiatry)
841 PRUDENTIAL DR STE 1100
JACKSONVILLE, FL 32207
Duval County (904) 902-4408

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 David Tyson's NPI number?

The NPI number for David Tyson is 1194305300. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is David Tyson located?

David Tyson practices at 841 Prudential Dr Ste 1100, Jacksonville, FL 32207. The listed phone number is (904) 344-3489.

What is David Tyson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Tyson enrolled in Medicare?

Yes. David 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 David Tyson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Tyson reassigns Medicare benefits to Serenity Tms Centers LLC (Lehi, UT). 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 David Tyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Tyson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list David Tyson 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.

When was this NPI record last updated?

The NPPES record for David Tyson was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.