NPI age
4 years
Enumerated 2021-07-07
● Active
Type 1 · Individual
Stephen Charles Tyson
Tyson is 1 of 6 anesthesiologist assistant providers in Conyers and 1 of 1530 in Georgia.
Primary specialty
Anesthesiologist Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1530 active anesthesiologist assistant providers in Georgia.
NPI age
4 years
↓ 8 yr below median (12 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-07Enumerated in NPPES
2021
2026
Where they practice
Practice location
1612 Milstead Rd Ne Ste B
Conyers, GA 300123738
Mailing address
4140 Alexis Ct
Loganville, GA 300529070
Specialties
-
Anesthesiologist Assistant PrimaryAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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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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