Active NPI
Duncan Tyson, MD
- Family Medicine Physician
- Florence, SC
National Provider Identifier
1871550129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9434
- Practice address
- 1594 Freedom Blvd
Ste 202
Florence, SC 29505-6046 - Phone
- (843) 664-9696
- NPI assigned
- Apr 28, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9434 | SC | Primary |
Addresses
Primary practice location
1594 Freedom Blvd
Ste 202
Florence, SC 29505-6046
Mailing address
1594 Freedom Blvd
Ste 202
Florence, SC 29505-6046
Phone (843) 664-9696
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094347 | Medicaid | SC | |
| 6341 | Other | SC | MEDICARE GROUP |
| 080144136 | Other | SC | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 9434 | NC | MD | Mental Health Counselor |
| 9434 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1871550129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 FREEDOM BLVD",
"address_2": "STE 202",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056046",
"telephone_number": "843-664-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1594 FREEDOM BLVD",
"address_2": "STE 202",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056046",
"telephone_number": "843-664-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "DUNCAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "9434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094347",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "6341",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080144136",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.