RODNEY D. TYSON MD,PC
NPI 1245419183
Clinic/Center - Primary Care in Adel, GA

Q: What is Rodney D. Tyson Md,pc's NPI number?

The NPI number for Rodney D. Tyson Md,pc is 1245419183. It was assigned to this organization in the NPPES registry on October 28, 2007.

Q: What is Rodney D. Tyson Md,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since October 28, 2007

103 JAMES ST, ADEL, GA 31620(229) 896-3424(229) 896-3838 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rodney D. Tyson Md,pc NPPES

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

RODNEY D. TYSON MD,PC (NPI 1245419183) is a healthcare organization registered as a primary care in Adel, Georgia and active in the NPI registry since October 2007. The organization lists Rodney Donald Tyson, President, as its authorized official.

NPPES Registry Identity

NPI1245419183

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameRODNEY D. TYSON MD,PC

Location Address103 JAMES STAdel, GA 31620-1504

Mailing Address103 James StAdel, GA 31620-1504 · (229) 896-3424 · Fax (229) 896-3838

Phone(229) 896-3424

Fax(229) 896-3838

Organization SubpartNo

Authorized OfficialRodney Donald TysonPresident · (229) 896-3424

Enumeration DateOctober 28, 2007

Last NPPES UpdateJanuary 4, 2010

✔ NPI 1245419183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in GA · 038994

103 JAMES ST, Adel, GA 31620

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Other Identifiers 4

Medicare PIN510G700693GA

Other507222GA · Bcbs Provider Number

Medicaid00703425AGA

Medicare UPINF92870GA

Other Providers at the Same Location NPPES

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

DAVID K. VICKERS

Nurse Practitioner (Family)

103 JAMES ST
ADEL, GA 31620

Cook County (229) 896-3424

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 Rodney D. Tyson Md,pc's NPI number?

The NPI number for Rodney D. Tyson Md,pc is 1245419183. It was assigned to this organization in the NPPES registry on October 28, 2007.

Where is Rodney D. Tyson Md,pc located?

Rodney D. Tyson Md,pc is located at 103 James St, Adel, GA 31620. The listed phone number is (229) 896-3424.

What is Rodney D. Tyson Md,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Rodney D. Tyson Md,pc was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.