Active NPI
John Reed Tysinger, M.D.
- Cardiovascular Disease Physician
- Greensboro, NC
National Provider Identifier
1861487548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 18296
- Practice address
- 1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128 - Phone
- (336) 373-0611
- Fax
- (336) 373-1589
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 18296 | NC | Primary |
Addresses
Primary practice location
1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128
Mailing address
1511 Westover Ter
Suite 201
Greensboro, NC 27408-7128
Phone (336) 373-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8984430 | Medicaid | NC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18296 | NC | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861487548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 WESTOVER TER",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087128",
"telephone_number": "336-373-0611",
"fax_number": "336-373-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 WESTOVER TER",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087128",
"telephone_number": "336-373-0611",
"fax_number": "336-373-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSINGER",
"first_name": "JOHN",
"middle_name": "REED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "18296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8984430",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.