DR. TAMYRA EDWARDS PSYD
NPI 1235729633
Psychologist in Roswell, GA

Active since January 20, 2021PECOS Enrolled
104 BOMBAY LN STE B, ROSWELL, GA 30076(678) 824-7733 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Feb 17, 2022, Jan 20, 2021 (3 updates tracked since 2021).

About Dr. Tamyra Edwards Psyd NPPES

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

DR. TAMYRA EDWARDS PSYD (NPI 1235729633) is an individual psychologist in Roswell, Georgia, licensed in Georgia (PSY004399) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1235729633
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TAMYRA EDWARDSCredential: PSYD
Location Address104 BOMBAY LN STE BRoswell, GA 30076-5814
Mailing Address104 Bombay Ln Ste BRoswell, GA 30076-5814 · (678) 824-7733
Sole ProprietorNo
Enumeration DateJanuary 20, 2021
Last NPPES UpdateJune 8, 20233 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1235729633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY004399
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY004399 (GA)
104 BOMBAY LN STE B, Roswell, GA 30076

Secondary Practice Location 1

Location 11050 Elephant TrlGainesville, GA 30501-3016 · Phone (770) 535-1050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tamyra Edwards Psyd 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.

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 Tamyra Edwards's NPI number?

The NPI number for Tamyra Edwards is 1235729633. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Tamyra Edwards located?

Tamyra Edwards practices at 104 Bombay Ln Ste B, Roswell, GA 30076. The listed phone number is (678) 824-7733.

What is Tamyra Edwards's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Tamyra Edwards enrolled in Medicare?

Yes. Tamyra Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamyra Edwards was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.