NATHAN TYSON
NPI 1497536882
Nurse Practitioner - Psychiatric/Mental Health in Marietta, GA

Q: What is Nathan Tyson's NPI number?

The NPI number for Nathan Tyson is 1497536882. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Q: What is Nathan Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Tyson was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 11, 2023PECOS EnrolledAccepts Medicare Assignment

1012 COGGINS PL NE, MARIETTA, GA 30060(770) 422-2009 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Apr 23, 2024, Oct 11, 2023 (3 updates tracked since 2023).

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About Nathan Tyson NPPES

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

NATHAN TYSON (NPI 1497536882) is an individual psychiatric/mental health provider in Marietta, Georgia, licensed in Georgia (RN297062) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497536882

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNATHAN TYSON

Location Address1012 COGGINS PL NEMarietta, GA 30060-2585

Mailing Address1314 Concord Rd SeSmyrna, GA 30080-4361 · (770) 438-1799 · Fax (770) 825-9046

Phone(770) 422-2009

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 11, 2023

Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1497536882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in GA · RN297062✔ Licensed in CT · 12486

1012 COGGINS PL NE, Marietta, GA 30060

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Secondary Practice Locations 6

Location 110475 Medlock Bridge Rd Ste 420Johns Creek, GA 30097-4439 · Phone (470) 737-1569 · Fax (833) 973-2670

Location 215 Medical Dr NE Ste 350Cartersville, GA 30121-8005 · Phone (470) 737-1606 · Fax (833) 973-4256

Location 31 Baltimore Pl NW Ste 200Atlanta, GA 30308-2114 · Phone (470) 737-1606 · Fax (833) 973-4256

Location 41314 Concord Rd SESmyrna, GA 30080-4361 · Phone (770) 438-1799 · Fax (770) 825-9046

Location 56025 Professional Pkwy Ste 301Douglasville, GA 30134-5610 · Phone (770) 438-1799 · Fax (770) 825-9046

Location 611755 Pointe Pl Ste A1Roswell, GA 30076-4657 · Phone (770) 667-1264 · Fax (770) 667-2238

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Nathan Tyson 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 ID4284071267

PECOS Enrollment IDI20250828002094

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 30060 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 10

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

MELANIE HACKNEY PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)