Active NPI
Joyce Lanelle Tyson, LICENSED MASSAGE THE
- Massage Therapist
- Tifton, GA
National Provider Identifier
1265734750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT001391
- Practice address
- 223 North Central Avenue
Tifton, GA 31794 - Phone
- (229) 387-7111
- Fax
- (229) 387-7111
- NPI assigned
- Dec 3, 2010
- Last updated
- Dec 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT001391 | GA | Primary |
Addresses
Primary practice location
223 North Central Avenue
Tifton, GA 31794
Mailing address
2111 Ferry Lake Rd
Tifton, GA 31794
Phone (229) 386-2534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT001391 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Clinic | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1265734750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 FERRY LAKE RD",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-386-2534",
"fax_number": "229-386-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NORTH CENTRAL AVENUE",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-387-7111",
"fax_number": "229-387-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "JOYCE",
"middle_name": "LANELLE",
"name_prefix": "Mrs.",
"credential": "LICENSED MASSAGE THE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT001391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.