1. Home
  2. Directory
  3. Georgia
  4. Conyers
  5. Anesthesiologist Assistant
  6. NPI Profile

STEPHEN CHARLES TYSON
NPI 1811568140
Anesthesiologist Assistant in Conyers, GA

Active since July 07, 2021Accepts Medicare Assignment
1612 MILSTEAD RD NE STE B, CONYERS, GA 30012(770) 388-7745(770) 922-0526 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephen Charles Tyson NPPES

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

STEPHEN CHARLES TYSON (NPI 1811568140) is an individual anesthesiologist assistant in Conyers, Georgia, licensed in Georgia (10610) and active in the NPI registry since July 2021. He is affiliated with Northside Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1811568140
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameSTEPHEN CHARLES TYSON
Location Address1612 MILSTEAD RD NE STE BConyers, GA 30012-3738
Mailing Address4140 Alexis CtLoganville, GA 30052-9070
Phone(770) 388-7745
Fax(770) 922-0526
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 7, 2021
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1811568140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 10610
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1612 MILSTEAD RD NE STE B, Conyers, GA 30012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen Charles Tyson 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 ID4880082106
PECOS Enrollment IDI20211019001704

Medicare Billing Reassignments

2

Medicare enrollment records show Stephen Tyson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockdale Anesthesia Services, P.C.
0.5 mi
Anesthesiology
1359 MILSTEAD RD NE, SUITE 103
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 57 clinicians in this Medicare group
NPI 1619028396 (770) 388-7745
North Atlanta Anesthesia Professionals, LLC
26 mi
Anesthesiology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 571 clinicians in this Medicare group
NPI 1982349296 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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 Stephen Tyson's NPI number?

The NPI number for Stephen Tyson is 1811568140. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Stephen Tyson located?

Stephen Tyson practices at 1612 Milstead Rd NE Ste B, Conyers, GA 30012. The listed phone number is (770) 388-7745.

What is Stephen Tyson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Stephen Tyson enrolled in Medicare?

Yes. Stephen Tyson 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.

Which organizations bill Medicare for Stephen Tyson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Tyson reassigns Medicare benefits to 2 organizations: Rockdale Anesthesia Services, P.C. (Conyers, GA) and North Atlanta Anesthesia Professionals, LLC (Atlanta, GA). Each 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 Stephen Tyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Tyson accept?

Health plans from Oscar Health list Stephen Tyson 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.

Is Stephen Tyson affiliated with any hospitals?

According to CMS data, Stephen Tyson is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Tyson was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.