Individual provider Active NPI

Arthelma Chenee Tyson, MD

  • Vascular Surgery Physician
  • Dakota Dunes, SD
National Provider Identifier
1992023410
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
14207 Issued in SD
Practice address
345 W Steamboat Dr Ste 601
Dakota Dunes, SD 57049-5287
Phone
(605) 217-5617
Fax
(605) 217-5533
NPI assigned
May 7, 2010
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 14207 SD Primary

Addresses

Primary practice location

345 W Steamboat Dr Ste 601
Dakota Dunes, SD 57049-5287

Mailing address

345 W Steamboat Dr Ste 601
Dakota Dunes, SD 57049-5287
Phone (605) 217-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230525000222 IA Practitioner - Vascular Surgery 4688818818
I20250527001699 GA Practitioner - Vascular Surgery 4688818818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Rochester School of Medicine and Dentistry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Heartstride Health LLCGroup PAC ID 7315443314, 8 clinicians

Practice addresses (Care Compare)

1825 Hwy 34 E 3400
Newnan, GA 30265-6433
Phone (770) 400-9588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Champ Vascular, LLC CurrentSince Jul 1, 2025 Accepting new patients
USA Vein Clinics of Decatur LLC Surgery CurrentSince Mar 23, 2025 Accepting new patients
Atlanticare Physician Group PA Surgery Past Accepting new patients

Locations

495 Winn Way
Ste 220
Decatur, GA 30030
Phone (404) 418-4328

1825 Highway 34 E
Ste 3400
Newnan, GA 30265
Phone (678) 785-5001

Interoperability endpoints

  • Direct secure messaging: arthelma.tyson.1@20810.direct.athenahealth.com
  • Direct secure messaging: atyson994186@direct.unitypoint.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1992023410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR STE 601",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495287",
            "telephone_number": "605-217-5617",
            "fax_number": "605-217-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W STEAMBOAT DR STE 601",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495287",
            "telephone_number": "605-217-5617",
            "fax_number": "605-217-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "ARTHELMA",
        "middle_name": "CHENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SD",
            "license": "14207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.