DR. TYRONE GONDER LPC
NPI 1538534912
Counselor - Professional in Dublin, GA

Active since December 10, 2015PECOS EnrolledAccepts Medicare Assignment
206 LONG LEAF WAY, DUBLIN, GA 31021(478) 274-9996 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Tyrone Gonder Lpc NPPES

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

DR. TYRONE GONDER LPC (NPI 1538534912) is an individual professional provider in Dublin, Georgia, licensed in Georgia (LPC008526) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1538534912
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TYRONE GONDERCredential: LPC
Location Address206 LONG LEAF WAYDublin, GA 31021-1680
Mailing Address206 Long Leaf WayDublin, GA 31021-1680 · (478) 274-9996
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 10, 2015
✔ NPI 1538534912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC008526
206 LONG LEAF WAY, Dublin, GA 31021

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

Dr. Tyrone Gonder Lpc 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 ID3971069519
PECOS Enrollment IDI20260803003618
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.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
206 LONG LEAF WAY
DUBLIN, GA 31021

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 Tyrone Gonder's NPI number?

The NPI number for Tyrone Gonder is 1538534912. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Tyrone Gonder located?

Tyrone Gonder practices at 206 Long Leaf Way, Dublin, GA 31021. The listed phone number is (478) 274-9996.

What is Tyrone Gonder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tyrone Gonder enrolled in Medicare?

Yes. Tyrone Gonder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tyrone Gonder was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.