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SWAYAMPRABHA S TYAGI MD
NPI 1720134166
Pediatrics in Vidalia, GA

Active since January 26, 2007
414 LUGENIA DR, VIDALIA, GA 30474(912) 537-9355(912) 537-7038 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2016, Jun 20, 2016 (2 updates tracked since 2016).

About Swayamprabha S Tyagi Md NPPES

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

SWAYAMPRABHA S TYAGI MD (NPI 1720134166) is an individual pediatrics provider in Vidalia, Georgia, licensed in Georgia (32318) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1720134166
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSWAYAMPRABHA S TYAGICredential: MD
Location Address414 LUGENIA DRVidalia, GA 30474-7210
Mailing Address414 Lugenia DrVidalia, GA 30474-7210 · (912) 537-9355 · Fax (912) 537-7038
Phone(912) 537-9355
Fax(912) 537-7038
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
✔ NPI 1720134166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 32318✔ Licensed in AZ · 47063
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
414 LUGENIA DR, Vidalia, GA 30474
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Other Names 1

Former Name (1)Swayamprabha Subramaniam Iyer Md

Other Identifiers 4

Medicaid000517833HGA
Medicaid000517833BGA
Medicaid000517833FGA
Medicaid000517833IGA

Other Providers at the Same Location NPPES 4

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

PREFERRED LABS OF VIDALIA LLC
Clinical Medical Laboratory
414 LUGENIA DR
VIDALIA, GA 30474
Toombs County (912) 386-7117
MRS. KELLY WHITE WALL FNP-C
Nurse Practitioner (Family)
414 LUGENIA DR
VIDALIA, GA 30474
Toombs County (912) 537-9355
LAURA H WHITE PMHNP, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
414 LUGENIA DR
VIDALIA, GA 30474
Toombs County (912) 537-9355
MARY MINTER NP-C
Nurse Practitioner (Family)
414 LUGENIA DR
VIDALIA, GA 30474
Toombs County (912) 537-9355

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 Swayamprabha Tyagi's NPI number?

The NPI number for Swayamprabha Tyagi is 1720134166. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Swayamprabha Subramaniam Iyer MD.

Where is Swayamprabha Tyagi located?

Swayamprabha Tyagi practices at 414 Lugenia Dr, Vidalia, GA 30474. The listed phone number is (912) 537-9355.

What is Swayamprabha Tyagi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Swayamprabha Tyagi was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.