Active NPI
Danielle Tyson, NP
- Family Nurse Practitioner
- Macon, GA
National Provider Identifier
1164207296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 280985
- Practice address
- 6060 Lakeside Commons Dr
Macon, GA 31210-5778 - Phone
- (478) 745-9204
- NPI assigned
- Aug 28, 2023
- Last updated
- Jun 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 280985 | GA | Primary |
Addresses
Primary practice location
6060 Lakeside Commons Dr
Macon, GA 31210-5778
Mailing address
6060 Lakeside Commons Dr
Macon, GA 31210-5778
Phone (478) 745-9204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280985 | GA | MD | Family Nurse Practitioner |
Interoperability endpoints
- ms_dtyson6@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1164207296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 LAKESIDE COMMONS DR",
"city": "MACON",
"state": "GA",
"postal_code": "312105778",
"telephone_number": "478-745-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 LAKESIDE COMMONS DR",
"city": "MACON",
"state": "GA",
"postal_code": "312105778",
"telephone_number": "478-745-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "DANIELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-28",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "280985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
- Sarah Tuttle, MD
- Sharon L Twibell, CRNA
- Twin Arrhythmia Group, LLC (Physician Clinic Office)
- Amy M Tyler, PTA
- Matthew Anthony Tyree, NP
- U Save It Pharmacy Inc (U Save It Pharmacy #13)
- U Save It Pharmacy Inc (U Save It Pharmacy #13 LTC)
- Kelechi Ndiribe Camille Ukegbu, PHARMD
- Wesley D Ulrich, M.D.
- Umerah Family Practice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.