Active NPI
Matthew Anthony Tyree, NP
- Family Nurse Practitioner
- Macon, GA
National Provider Identifier
1245988583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN235503
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (478) 633-1000
- NPI assigned
- Mar 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN235503 | GA | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | RN235503 | GA |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
164 Bear Creek TRL
Mansfield, GA 30055-3311
Phone (678) 449-9418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (954) 939-5000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.18
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN235503 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georgia Emergency Group, LLC | Current | Accepting new patients | |
| Georgia Em-I Medical Services, LLC | Current | Accepting new patients | |
| Georgia Em-I Medical Services. LLC | Current | Accepting new patients |
Locations
3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Bremen, GA
- NPI 1851569560
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1245988583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 BEAR CREEK TRL",
"city": "MANSFIELD",
"state": "GA",
"postal_code": "300553311",
"telephone_number": "678-449-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "478-633-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "MATTHEW",
"middle_name": "ANTHONY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-15",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN235503",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "GA",
"license": "RN235503",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.