MARY LYNN TYSON


Address: 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074
Phone: 7067368170

MARY LYNN TYSON (NPI# 1780669218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780669218
Entity Type Individual
Full Name MARY LYNN TYSON
Credential M.D.
Practice Address 1727 Wrightsboro Rd
Suite B
Augusta
GA 30904-4074
Practice Telephone 7067368170
Practice Fax Number 7067368184
Mailing Telephone 7067368170
Mailing Fax Number 7067368184
Enumeration Date 2005-12-07
Last Update Date 2013-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
030683 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000902063V 05
GA 000606317B 05

Other Providers MARY TYSON

NPI Name Taxonomy Address Enumeration
1659336147 Mary Mckinney Tyson Physical Therapist 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759-5295 2006-04-19
1316911035 Mary Amato Tyson Emergency Medicine 3643 N Roxboro St, Durham, NC 27704-2702 2006-02-17
1518965037 Mary M Tyson Pediatrics 8800 W. 75th Street, Suite 220, Merriam, KS 66204 2005-07-08

Office Location

Street Address 1727 WRIGHTSBORO RD
SUITE B
City AUGUSTA
State GA
Zip Code 30904-4074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639635873 Jacquelina Deanna Pickett Social Worker 1727 Wrightsboro Rd, Augusta, GA 30904-4049 2019-02-12
1750847190 Amy Michelle Anderson Registered Nurse 1727 Wrightsboro Rd, Augusta, GA 30904-4049 2019-02-11
1114383551 Ronda Taylor Counselor 1727 Wrightsboro Rd, Suite A, Augusta, GA 30904-4049 2016-01-14
1619343456 Nicole Goudelock Counselor 1727 Wrightsboro Rd, Augusta, GA 30904-4049 2015-08-17
1932494960 Megan Sarah Paul Counselor 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 2011-06-17
1508014168 Laron Freeman Social Worker 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 2008-09-08
1003064734 Ashleigh Deriso Licensed Practical Nurse 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 2008-09-06
1326296146 Pam Oliphant Social Worker 1727 Wrightsboro Rd, Augusta, GA 30904-4074 2008-09-04
1396993119 Denny Brown Social Worker 1727 Wrightsboro Rd, Augusta, GA 30904-4074 2008-09-04
1285882001 Samuel Leverett Social Worker 1727 Wrightsboro Rd, Suite B, Augusta, GA 30904-4074 2008-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518423706 Lawren Murray Tachias Registered Nurse 950 15th Street Downtown, Augusta, GA 30904 2019-02-13
1457851842 Heba Ahmed Pharmacist 912 15th Street, Augusta, GA 30904 2018-02-13
1124552690 Jenny Liles Student in an Organized Health Care Education/Training Program 1004 Chafee Ave, Augusta, GA 30904 2017-04-11
1932640836 Claudia Crawford Student in an Organized Health Care Education/Training Program 2624 Oakland Ave., Augusta, GA 30904 2017-03-13
1801240528 F. Marion Durst IIi Dmd PC Clinic/Center 2325 Washington Road, Augusta, GA 30904 2016-04-19
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
1760855241 Chase King Occupational Therapist 1735 Berkeley Rd, Augusta, GA 30904 2015-11-05
1962832246 April Underwood Fox Physician Assistant 1417 Pendleton Rd, Augusta, GA 30904 2013-11-22
1861734378 John Graham Theisen Obstetrics & Gynecology 810 Chafee Avenue, Augusta, GA 30904 2013-03-22
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881219145 Mandeep Singh Psychiatry & Neurology 1103 15th St, Augusta, GA 30901-3111 2020-06-12
1427673797 Amanda Seamon Psychiatry & Neurology 997 Saint Sebastian Way # Eg2003, Augusta, GA 30912-2613 2020-06-12
1538622873 Daniel Duong Phan Psychiatry & Neurology 1459 Laney Walker Blvc Ae-3042, Augusta, GA 30912-0001 2019-04-12
1427549567 Ozioma Nwaigwe Psychiatry & Neurology 1120 15th St Augusta, Augusta, GA 30912-0001 2018-05-24
1568845881 Jacqueline Locrotondo Psychiatry & Neurology 1465 Laney Walker Blvd Pavilion II Af 1040, Augusta, GA 30912-0004 2015-07-06
1093198723 Erin Dexter Psychiatry & Neurology 1022 15th St, Augusta, GA 30912-0004 2015-06-30
1427394402 Kenneth D. Jones M.d., P.C. Psychiatry & Neurology 1430 Harper St Ste C2, Augusta, GA 30901-0621 2012-12-20
1871854174 Patrick Killoran Psychiatry & Neurology 1 Va Ctr # 118e, Togus Va Medical Center, Augusta, ME 04330-6719 2012-06-04
1477766640 Deborah J Wear-finkle Psychiatry & Neurology 592 Riverside Dr, #8, Augusta, ME 04330-3813 2007-05-07
1689793077 Elsie J Freeman Psychiatry & Neurology Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 2007-03-28
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Competitor

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City AUGUSTA
Zip Code 30904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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