Nathan Tyson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN297062 Issued in GA

Practice address

1012 Coggins PL NE
Marietta, GA 30060-2585

Phone

(770) 422-2009

NPI assigned

Oct 11, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Georgia Psychiatry and SleepGroup PAC ID 4981736519, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathan.tyson.1@31211.direct.athenahealth.com

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.

• Georgia Psychiatry & Sleep

  • Psychiatry Physician
  • Smyrna, GA
  • NPI 1558516997
  Medicare reassignment Care Compare group NPD
• Advanced Telepsych PLLC

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1508456377
  Medicare reassignment NPD
• Psych Atlanta, P.C.

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1184756090
  NPD
• Northeast Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Cheshire, CT
  • NPI 1396991956
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1497536882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804361",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 COGGINS PL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602585",
            "telephone_number": "770-422-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Medical Dr NE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301218005",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Concord Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804361",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Medlock Bridge Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974439",
            "country_code": "US",
            "telephone_number": "470-737-1569",
            "fax_number": "833-973-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11755 Pointe Pl Ste A1",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764657",
            "country_code": "US",
            "telephone_number": "770-667-1264",
            "fax_number": "770-667-2238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baltimore Pl NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082114",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Professional Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345610",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN297062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Tuttle-Le
• Katherine Elizabeth Twaddle, LMFT
• Kyle Thomas Twiss
• Daijia Tyson, D.C
• James W Tyson VI, MD
• U.S. Healthworks Medical Group of Georgia, Inc.
• Solomon B. Udo, CEO
• Timothy N Udoji, MD
• Unwanaobong Nsikitima Udoko
• Rita Udom, MD

• Psychiatric/Mental Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.

Verify at the official NPI Registry.