NPI age
18 years
Enumerated 2007-10-28
● Active Type 2 · Organization
Rodney D. Tyson Md,pc
Rodney D. Tyson Md,pc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tyson
President
Last NPPES update
2010-01-04
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
103 James St
Adel, GA 316201504
Mailing address
103 James St
Adel, GA 316201504
Authorized official
Rodney Donald Tyson, M.D.
President
📞 2298963424
Individual providers at this organization
1 individual provider on file at this primary practice address.
- David Vickers Nurse Practitioner NPI 1629518014
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00703425A | |
| 01 (GA) | 507222 | BCBS PROVIDER NUMBER |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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