Tyrone Omar Nieves-Martinez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA200001967 Issued in DC

Practice address

2296 Henderson Mill Rd NE Ste 300
Atlanta, GA 30345-2774

Phone

(404) 474-2301

NPI assigned

Apr 22, 2024

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 DC, 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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nikki D Hill MD LLCGroup PAC ID 3173939873, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Nikki D. Hill MD LLC

  dba Skin of Culture and Hair Center

  • Dermatology Physician
  • Tucker, GA
  • NPI 1013384064
  Medicare reassignment Care Compare group
• Comprehensive Primary Care and Associates LLC

  dba CloseKnit

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1831492586

  DC

  Medicare reassignment

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1639924830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL RD NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452774",
            "telephone_number": "404-474-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL RD NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452774",
            "telephone_number": "404-474-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-MARTINEZ",
        "first_name": "TYRONE",
        "middle_name": "OMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200001967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasey Niebrugge, BCBA
• Kristin Nieh, MD
• Peter T Nieh, M.D.
• Carley Schroering Niehaus, MD
• Paola Andrea Nieves Acosta, LMSW
• Laura Nieves, LMSW
• Mary Laura Niewoehner, CNP
• Shikha Nigam, MD, MPH
• Samuel Nightingale, SURGICAL FIRST ASST.
• Summer Starr Nijem, RN, MSN, CPNP

• Physician Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.