TYKNETRA GUNNISON
NPI 1699510347
Counselor - Professional in Conyers, GA
About Tyknetra Gunnison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYKNETRA GUNNISON (NPI 1699510347) is an individual professional provider in Conyers, Georgia, licensed in Georgia (LPC014405) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyknetra Gunnison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyknetra Gunnison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Georgia enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tyknetra Gunnison's NPI number?
The NPI number for Tyknetra Gunnison is 1699510347. It was assigned to this individual provider in the NPPES registry on June 26, 2024.
Where is Tyknetra Gunnison located?
Tyknetra Gunnison practices at 1906 Heritage Dr SW, Conyers, GA 30094. The listed phone number is (678) 532-9896.
What is Tyknetra Gunnison's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tyknetra Gunnison enrolled in Medicare?
Yes. Tyknetra Gunnison is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyknetra Gunnison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyknetra Gunnison reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyknetra Gunnison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyknetra Gunnison accept?
Health plans from Alliant Health Plans, Inc. and CareSource list Tyknetra Gunnison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tyknetra Gunnison was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tyknetra Gunnison · NPI 1699510347
Professional provider in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since June 26, 2024.
## Identity
- **NPI:** 1699510347 (Entity type: Individual)
- **Enumerated:** June 26, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC014405 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1906 HERITAGE DR SW, Conyers, GA 30094-6264
- **Phone:** (678) 532-9896
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699510347) · Data from the CMS NPPES public registry.