TYSHIANNA B EDWARDS OTD
NPI 1841926086
Occupational Therapist in Horn Lake, MS
About Tyshianna B Edwards Otd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYSHIANNA B EDWARDS OTD (NPI 1841926086) is an individual occupational therapist in Horn Lake, Mississippi, licensed in Mississippi (OT-3947) and active in the NPI registry since July 2022. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Tyshianna B Edwards Otd 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.
Medicare Billing Reassignment
Medicare enrollment records show Tyshianna Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olive Branch, MS 38654
- Reassigned Medicare billing, Mississippi enrollment
- 21 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HORN LAKE, MS 38637
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 Tyshianna Edwards's NPI number?
The NPI number for Tyshianna Edwards is 1841926086. It was assigned to this individual provider in the NPPES registry on July 29, 2022.
Where is Tyshianna Edwards located?
Tyshianna Edwards practices at 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637. The listed phone number is (901) 292-5313.
What is Tyshianna Edwards's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Tyshianna Edwards enrolled in Medicare?
Yes. Tyshianna Edwards 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 organization bills Medicare for Tyshianna Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyshianna Edwards reassigns Medicare benefits to Aegis Group Practice LLC (Olive Branch, MS). 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 Tyshianna Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tyshianna Edwards was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.