P Praxis·MD
● Active Type 1 · Individual

Teila Tyler, OWNER

Clinical Medical Laboratory·Conyers, GA· NPI 1275118200 · Enumerated 2021 · 5 years on NPI
Tyler is 1 of 11 clinical medical laboratory providers in Conyers and 1 of 621 in Georgia.
NPI age
5 years
Enumerated 2021-03-11
Primary specialty
Clinical Medical Laboratory
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 621 active clinical medical laboratory providers in Georgia.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
2274 Salem Rd Se Ste 106-1336
Conyers, GA 300132097
📞 7704079923
Mailing address
2038 Fontainbleau Dr
Conyers, GA 300944842
📞 7704079923

Specialties

  • Clinical Medical Laboratory Primary
    (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
    taxonomy 291U00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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