Tyree J Macon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

124 Forest Lake Blvd Apt 701
Daytona Beach, FL 32119-8103

Phone

(513) 513-6237

NPI assigned

Sep 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1710868153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FOREST LAKE BLVD APT 701",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321198103",
            "telephone_number": "513-513-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FOREST LAKE BLVD APT 701",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321198103",
            "telephone_number": "513-513-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "TYREE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah N Macdowell, ARNP
• Margaret Fanning Macduffie, L.M.H.C.
• Roderick M Macintyre III, D.M.D.; M.S.
• Kevin Macmahon, MD
• Joy F. Macnichol, ANP-C
• Lisa Macri, ARNP
• Jenayia Maddox
• Katarzyna I. Madejczyk, MD
• Shardae Madison, RBT
• Samantha Maffucci, OT

• Case Manager/Care Coordinator in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.