MR. GEORGE RICHARD TYSON


Address: 2121a Bellevue Rd, Dublin, GA 31021-2998
Phone: 4782721190

MR. GEORGE RICHARD TYSON (NPI# 1437134871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437134871
Entity Type Individual
Full Name MR. GEORGE RICHARD TYSON
Credential MA
Practice Address 2121a Bellevue Rd
Dublin
GA 31021-2998
Practice Telephone 4782721190
Practice Fax Number 4782726509
Mailing Telephone 4782721190
Mailing Fax Number 4782726509
Enumeration Date 2005-12-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YP2500X Counselor
Specialization: Professional
LPC001176 GA Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist MFT000464 GA Behavioral Health & Social Service Providers

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Office Location

Street Address 2121A BELLEVUE RD
City DUBLIN
State GA
Zip Code 31021-2998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043203839 Sandra L Souza Family Medicine 2121a Bellevue Rd, Dublin, GA 31021-2998 2005-08-26
1194339119 Elizabeth Sheridan Pittman Registered Nurse 2121a Bellevue Rd, Dublin, GA 31021-2998 2020-09-08
1154885580 Amy T Solen Behavioral Analyst 2121a Bellevue Rd, Dublin, GA 31021-2998 2019-01-30
1912417437 Kristi Leigh Stinson Marriage & Family Therapist 2121a Bellevue Rd, Dublin, GA 31021-2998 2017-10-11
1972042265 Coretta Green Counselor 2121a Bellevue Rd, Dublin, GA 31021-2998 2017-02-20
1174973234 Jessica Saunders Land Counselor 2121a Bellevue Rd, Dublin, GA 31021-2998 2016-06-20
1568812386 Hope Leeann Fowler Counselor 2121a Bellevue Rd, Dublin, GA 31021-2998 2016-06-13
1740677541 Ashton Smith Licensed Practical Nurse 2121a Bellevue Rd, Dublin, GA 31021-2998 2015-04-20
1639566433 Kizzy Oliver Registered Nurse 2121a Bellevue Rd, Dublin, GA 31021-2998 2015-04-20
1841699154 Bridget Rose Connell Counselor 2121a Bellevue Rd, Dublin, GA 31021-2998 2014-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497213748 Ronald E. Johnson Peer Specialist Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 2019-03-06
1902384811 Nieka Jackson Pharmacist 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 2018-08-02
1407341522 Empower Psychiatry & Weight Loss, LLC Nurse Practitioner 112 Rowe St Ste B, Dublin, GA 31021 2018-06-30
1619462207 Kara Emily Frost Speech-Language Pathologist 1406 Bellevue Rd, Dublin, GA 31021 2018-06-26
1376035410 Owens Speech Services, LLC Speech-Language Pathologist 401 Barfield Court, Dublin, GA 31021 2018-06-05
1558878884 Tattnall Hospital Company, LLC Neurological Surgery 242 Industrial Blvd, Dublin, GA 31021 2018-01-09
1376991000 Eatonton Facility Development Company, LLC Hospice, Inpatient 155 Greensboro Rd, Eatonton, GA 31021 2016-06-03
1801261177 Jones Community Health Center, LLC Clinic/Center 115 Shadow Pond, Dublin, GA 31021 2015-12-11
1508237561 Cancer Center of Middle Georgia Specialist 26 Erin Office Park, Dublin, GA 31021 2015-10-15
1922477249 Mickey Jackson Non-emergency Medical Transport (VAN) 610 John Robinson Tl., Dublin, GA 31021 2015-09-16
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332900 Angela Charlton Counselor 5166 Baskerville St, Dublin, VA 24084-3645 2020-06-26
1518583624 Robert Moses Spaulding II Counselor 201 Kings Road, Kingswood Subdivision, Dublin, GA 31021-6439 2020-06-24
1811469661 Rachel Mary White Counselor 2121a Bellevue Rd Bldg 4, Dublin, GA 31021-9073 2018-12-18
1851870331 Gwendolyn T Edmond Counselor 103 Mercer Dr Ste B, Dublin, GA 31021-4257 2018-08-07
1215425368 Marisa Rae Chovan Counselor 7614 Mill Bench Ct Apt A, Dublin, OH 43016-9114 2018-04-24
1821517855 Allison K Lombardo Counselor 525 Metro Pl N Ste 300, Dublin, OH 43017-5320 2017-09-11
1629596275 Julie Battaglia Counselor 525 Metro Place, Suite 100, Dublin, OH 43017 2017-09-05
1447773411 Crissy Bontrager Counselor 6047 Frantz Rd Ste 105, Dublin, OH 43017-3365 2017-07-21
1639615792 Serena Fluker Counselor 1041 Maid Marian Ln, Dublin, GA 31021-0690 2017-01-13
1710343645 Safehaven Counseling Services,llc Counselor 2792 Us Highway 80 W, Dublin, GA 31021-0907 2016-01-07
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Competitor

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City DUBLIN
Zip Code 31021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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