NPI age
4 years
Enumerated 2021-06-29
● Active
Type 1 · Individual
Lychannel Ticole Head
Head is 1 of 7 specialist providers in McDonough and 1 of 1881 in Georgia.
Primary specialty
Specialist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1881 active specialist providers in Georgia.
NPI age
4 years
↓ 15 yr below median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 7% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
1631 Highway 20 W
McDonough, GA 302537311
Mailing address
1631 Highway 20 W
McDonough, GA 302537311
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.
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 16 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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