Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew Tyson, MD

Individual provider Family Medicine Physician · NPI 1770018921

Dr. Andrew Tyson, MD is a Family Practice in Kingsport, Tennessee. Qualified in 2017, 9 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-3629
Fax: (423) 224-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 123 Hendersonville Rd, Asheville, NC 28803-2868 — (828) 258-0608
  • 208 Medical Park Blvd, Bristol, TN 37620-7343 — (423) 989-4050

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 62080 (TN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 62080 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770018921
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2017
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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