Individual provider Active NPI

S Tyrus C Brown, PA

  • Physician Assistant
  • Royston, GA
National Provider Identifier
1609843572
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001914 Issued in GA
Practice address
132 Franklin Springs St
Royston, GA 30662-4134
Phone
(706) 245-7371
Fax
(706) 245-9257
NPI assigned
Mar 1, 2006
Last updated
Mar 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001914 GA Primary

Addresses

Primary practice location

132 Franklin Springs St
Royston, GA 30662-4134

Mailing address

132 Franklin Springs Street
Royston, GA 30662
Phone (706) 245-7371

Other identifiers 1

IdentifierTypeStateIssuer
646193337BMedicaidGA

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1914GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Urgent Care - Royston LLC Past Accepting new patients
Urology Group of Athens, P.C. PastSince Sep 28, 2025 Accepting new patients
Urology Surgical Solutions, LLC PastSince Feb 9, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc Physician Assistant PastSince Apr 1, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.794

Organizations & group practices 4

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1609843572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FRANKLIN SPRINGS STREET",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "30662",
            "telephone_number": "706-245-7371",
            "fax_number": "706-245-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FRANKLIN SPRINGS ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306624134",
            "telephone_number": "706-245-7371",
            "fax_number": "706-245-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "S TYRUS",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "001914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646193337B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.