TYRA LOUISE ANDERSON
NPI 1417448432
Specialist in East Point, GA
- Individual
- Female
- Specialist
About TYRA ANDERSON
This page provides the complete NPI Profile along with additional information for Tyra Anderson, a provider established in East Point, Georgia with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1417448432 assigned on May 2018. The practitioner's primary taxonomy code is 174400000X with license number 1744P3200X (GA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1417448432 Verify this NPI
- Provider Name
- TYRA LOUISE ANDERSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1514 CLEVELAND AVE STE 103-5 EAST POINT, GA 30344
- Location Phone
- (770) 256-7221
- Mailing Address
- 858 AMBERWOOD WAY FOREST PARK, GA 30297
- Mailing Phone
- (770) 256-7221
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-24-2018
- Last Update Date
- 06-16-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 1744P3200X
- License State
- GA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 825455207 | OTHER (01) | GA | DEPARTMENT OF TREASURY INTERNAL REVENUE SERVICE |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417448432, enumerated as an "individual" on May 24, 2018.
The provider is located at 1514 CLEVELAND AVE STE 103-5 EAST POINT, GA 30344 and the phone number is (770) 256-7221.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
