LYCHANNEL TICOLE HEAD
NPI 1871163097
Specialist in Mcdonough, GA
About Lychannel Ticole Head NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYCHANNEL TICOLE HEAD (NPI 1871163097) is an individual specialist in Mcdonough, Georgia, licensed in Georgia (1952405052) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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)
Lychannel Ticole Head is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCDONOUGH, GA 30253
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 Lychannel Head's NPI number?
The NPI number for Lychannel Head is 1871163097. It was assigned to this individual provider in the NPPES registry on June 29, 2021.
Where is Lychannel Head located?
Lychannel Head practices at 1631 Highway 20 W, Mcdonough, GA 30253. The listed phone number is (770) 288-2822.
What is Lychannel Head's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lychannel Head enrolled in Medicare?
Yes. Lychannel Head is registered in the Medicare PECOS enrollment system.
What insurance does Lychannel Head accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lychannel Head 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 Lychannel Head was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.