P Praxis·MD
● Active Type 1 · Individual

Mitzi Braddock Tyre, FNP

Nurse Practitioner·Waycross, GA· NPI 1396983227 · Enumerated 2009 · 17 years on NPI
Tyre is 1 of 7 nurse practitioner providers in Waycross and 1 of 1622 in Georgia.
NPI age
17 years
Enumerated 2009-01-30
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
17 years
↑ 13 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
2
In the 37% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-01Enumerated in NPPES
2009 2026

Where they practice

Practice location
1007 Mary St
Waycross, GA 315033823
📞 9123877737fax 9124497080
Mailing address
2900 Mossy Oak Trl
Waycross, GA 315034621
📞 9123877737

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5 Executive Cir
Savannah, GA 314063345
📞 9123499777

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN170702 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #RN170702 taxonomy 363LF0000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN170702 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1622 Nurse Practitioner providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related