ELIZABETH STREETT TYSON MD
NPI 1295814762
Pediatrics in Greenville, SC

Q: What is Elizabeth Tyson's NPI number?

The NPI number for Elizabeth Tyson is 1295814762. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Elizabeth Tyson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Tyson was last updated on June 15, 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 November 03, 2006PECOS EnrolledAccepts Medicare Assignment

20 MEDICAL RIDGE DR, GREENVILLE, SC 29605(864) 220-7270(864) 241-9211 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Streett Tyson Md NPPES

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

ELIZABETH STREETT TYSON MD (NPI 1295814762) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (30313) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1999).

NPPES Registry Identity

NPI1295814762

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELIZABETH STREETT TYSONCredential: MD

Location Address20 MEDICAL RIDGE DRGreenville, SC 29605-4267

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 220-7270

Fax(864) 241-9211

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1999

Enumeration DateNovember 3, 2006

Last NPPES UpdateJune 15, 2021

NPPES CertifiedJune 14, 2021

✔ NPI 1295814762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · 30313

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

20 MEDICAL RIDGE DR, Greenville, SC 29605

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Other Identifiers 2

Other576007863102SC · Bcbs

Medicaid303139SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Streett 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 ID6103861380

PECOS Enrollment IDI20071214000010

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 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

ANGELA MURRAY YOUNG MD

Pediatrics