NPIMap

Individual provider Active NPI

Tyler J Dubs, MD

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1730344094
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68147 Issued in GA
Practice address
100 John Maddox Dr NW
Suite a-2
Rome, GA 30165-1431
Phone
(706) 295-1184
Fax
(706) 236-1919
NPI assigned
Jul 25, 2008
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 68147 GA Primary
Family Medicine Physician 207Q00000X 668147 GA

Addresses

Primary practice location

100 John Maddox Dr NW
Suite a-2
Rome, GA 30165-1431

Mailing address

100 John Maddox Dr NW
Suite a-2
Rome, GA 30165-1431
Phone (706) 295-1184

Other practice location 1

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 375-7781

Other identifiers 1

IdentifierTypeStateIssuer
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000643 GA Practitioner - Family Practice 3072654326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68147GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Aug 15, 2017 Accepting new patients
24 On Physicians, P.C. CurrentSince Aug 1, 2012 Accepting new patients
24 On Physicians, PC CurrentSince Aug 1, 2012 Accepting new patients
Redmond Park Hospital, LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1730344094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JOHN MADDOX DR NW",
            "address_2": "SUITE A-2",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651431",
            "telephone_number": "706-295-1184",
            "fax_number": "706-236-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN MADDOX DR NW",
            "address_2": "SUITE A-2",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651431",
            "telephone_number": "706-295-1184",
            "fax_number": "706-236-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 S Tallahassee St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396465",
            "country_code": "US",
            "telephone_number": "912-375-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBS",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68147",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "668147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.