LYCHANNEL TICOLE HEAD
NPI 1871163097
Specialist in Mcdonough, GA

Active since June 29, 2021PECOS Enrolled
1631 HIGHWAY 20 W, MCDONOUGH, GA 30253(770) 288-2822 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jan 20, 2023, Jun 29, 2021 (3 updates tracked since 2021).

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

NPI1871163097
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLYCHANNEL TICOLE HEAD
Location Address1631 HIGHWAY 20 WMcdonough, GA 30253-7311
Mailing Address1631 Highway 20 WMcdonough, GA 30253-7311 · (770) 288-2822
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 29, 2021
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1871163097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 1952405052
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F06211529 (GA)
1631 HIGHWAY 20 W, Mcdonough, GA 30253

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).

PECOS PAC ID8729435490
PECOS Enrollment IDI20231117001015
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.

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
22 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
13 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services12 patients

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.

Clinical Nurse Specialist (Family Health)
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Family Medicine
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Internal Medicine
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Physician Assistant
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Physician Assistant
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Family Medicine
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Physician Assistant (Medical)
1631 HIGHWAY 20 W
MCDONOUGH, GA 30253
Nurse Practitioner
1631 HIGHWAY 20 W
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.