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TYRONE OMAR NIEVES-MARTINEZ
NPI 1639924830
Physician Assistant in Atlanta, GA

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment
2296 HENDERSON MILL RD NE STE 300, ATLANTA, GA 30345(404) 474-2301 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Tyrone Omar Nieves-martinez NPPES

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

TYRONE OMAR NIEVES-MARTINEZ (NPI 1639924830) is an individual physician assistant in Atlanta, Georgia, licensed in District Of Columbia (PA200001967) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639924830
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYRONE OMAR NIEVES-MARTINEZ
Location Address2296 HENDERSON MILL RD NE STE 300Atlanta, GA 30345-2774
Mailing Address2296 Henderson Mill Rd Ne Ste 300Atlanta, GA 30345-2774 · (404) 474-2301
Phone(404) 474-2301
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 22, 2024
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1639924830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in DC · PA200001967
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2296 HENDERSON MILL RD NE STE 300, Atlanta, GA 30345
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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

Tyrone Omar Nieves-martinez 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 ID547706467
PECOS Enrollment IDI20240726001500, I20250716000266
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30345 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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

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

DR. NIKKI HILL M.D.
Dermatology
2296 HENDERSON MILL RD NE STE 300
ATLANTA, GA 30345
Dekalb County (678) 935-1273

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 Nieves-martinez's NPI number?

The NPI number for Tyrone Nieves-martinez is 1639924830. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Tyrone Nieves-martinez located?

Tyrone Nieves-martinez practices at 2296 Henderson Mill Rd NE Ste 300, Atlanta, GA 30345. The listed phone number is (404) 474-2301.

What is Tyrone Nieves-martinez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyrone Nieves-martinez enrolled in Medicare?

Yes. Tyrone Nieves-martinez 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 Nieves-martinez was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.