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TYKNETRA GUNNISON
NPI 1699510347
Counselor - Professional in Conyers, GA

Active since June 26, 2024PECOS Enrolled
1906 HERITAGE DR SW, CONYERS, GA 30094(678) 532-9896 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1699510347
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTYKNETRA GUNNISON
Location Address1906 HERITAGE DR SWConyers, GA 30094-6264
Mailing Address2890 Highway 212 Sw Ste A-218Conyers, GA 30094-3363
Phone(678) 532-9896
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 26, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1699510347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014405
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1906 HERITAGE DR SW, Conyers, GA 30094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyknetra Gunnison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476058421
PECOS Enrollment IDI20250923000377
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.

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.

What insurance does Tyknetra Gunnison accept?

Health plans from Alliant Health Plans, Inc., CareSource, Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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.