NPI age
7 years
Enumerated 2018-05-24
● Active
Type 1 · Individual
Tyra Louise Anderson
Anderson is 1 of 5 specialist providers in East Point and 1 of 1881 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1881 active specialist providers in Georgia.
NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Practice location
1514 Cleveland Ave Ste 103-5
East Point, GA 303446965
Mailing address
858 Amberwood Way
Forest Park, GA 302974256
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 825455207 | DEPARTMENT OF TREASURY INTERNAL REVENUE SERVICE |
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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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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