MRS. STEPHANIE E. TYSON


Address: 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694
Phone: 7062533100

MRS. STEPHANIE E. TYSON (NPI# 1437683224) 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) 1437683224
Entity Type Individual
Full Name MRS. STEPHANIE E. TYSON
Other Name STEPHANIE TARPLEY
Credential NP-C
Practice Address 134 Mountainside Village Pkwy Ste 100
Jasper
GA 30143-8694
Mailing Address 1835 Savoy Dr Ste 300
Atlanta
GA 30341-1071
Practice Telephone 7062533100
Practice Fax Number 7062533101
Mailing Telephone 7062533100
Mailing Fax Number 7062533101
Enumeration Date 2017-04-18
Last Update Date 2020-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN200512 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003203586A 05
GA MEDICARE PTAN G04354A 01

Other Providers STEPHANIE TYSON

NPI Name Taxonomy Address Enumeration
1639641194 Stephanie Tyson Speech-Language Pathologist 100 Tiger Trl, Liberty Center, OH 43532-9642 2018-12-21
1386888188 Stephanie N Tyson Registered Nurse 5400 Euper Ln, Fort Smith, AR 72903 2009-04-23
1588019236 Stephanie Tyson Social Worker 2240 E Winrow Ave, Usa Meddac Misc, Fort Huachuca, AZ 85613-7079 2016-05-02

Office Location

Street Address 134 MOUNTAINSIDE VILLAGE PKWY STE 100
City JASPER
State GA
Zip Code 30143-8694

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750453254 Brian Alexander Geller Internal Medicine 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 2006-11-14
1841776333 Dallas Anne Knox Physician Assistant 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 2018-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073111845 George Mackel, Pmhnp-bc, LLC Nurse Practitioner 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 2020-10-14
1598363434 Amanda J Griggs Massage Therapist 54 Wolfscratch Village, Jasper, GA 30143 2020-10-13
1801397724 Jema Day Nurse Practitioner 620 J L White Dr Ste 140, Jasper, GA 30143 2018-02-26
1023467545 North Georgia Personal Care LLC Home Health 501 North Main St., Suite B, Jasper, GA 30143 2016-06-06
1871979641 Sj & J Spine and Pain Group Holding LLC Pain Medicine 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 2015-08-04
1801294293 Highland Recovery Center Community/Behavioral Health 323 Roland Road, Jasper, GA 30143 2014-12-17
1770905861 Leslie Rhea Hanagan Speech-Language Pathologist 22 Dogwood Lane, Jaser, GA 30143 2014-01-09
1669800660 Pickens County Chiropractic Chiropractor 95 North Main Street, Jasper, GA 30143 2013-10-29
1407139264 Rocky Mountain Holdings LLC Ambulance 70 Airport Business Court, Jasper, GA 30143 2011-09-27
1851681415 Richard J Vandam Internal Medicine 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 2011-04-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962041772 Hughes Medical Group Nurse Practitioner 1501-c S Wheeler, Jasper, TX 75951 2019-12-26
1134604457 Thomas Reagan Graffagnino Nurse Practitioner 494 Springhill St Ste 100, Jasper, TX 75951-5055 2018-10-02
1972810679 Cassandra S Kern-fuhs Nurse Practitioner 819 Wernsing Rd, Jasper, IN 47546-8141 2010-09-02
1003445297 Vicki Wetter Nurse Practitioner 10650 Sw 46th St, Jasper, FL 32052-3732 2020-04-08
1316409451 Aleena Herrick Nurse Practitioner 220 J L White Dr Ste 150, Jasper, GA 30143-4895 2019-04-05
1871016436 Erica Paige Hall Nurse Practitioner 3400 Highway 78 E, Jasper, AL 35501-8956 2017-07-25
1811410954 Brynna Chivaune Hamilton Nurse Practitioner 980 Highway 28 Ste 200, Jasper, TN 37347-3744 2017-07-20
1194184408 Brooke B Childers Nurse Practitioner 220 J L White Dr Ste 120, Jasper, GA 30143-4894 2016-02-15
1255725917 Tiffany W Oliver Nurse Practitioner 2201 N Airport Rd, Jasper, AL 35504-7058 2015-03-20
1922423326 Jelesa Shaneice Martin Nurse Practitioner 907 11th St Ne, Jasper, AL 35504-8821 2014-02-22
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Competitor

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City JASPER
Zip Code 30143

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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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