Keontra Tyes
Keontra Tyes is a Qualified Audiologist in Decatur, Georgia. Qualified in 2023, 3 years ago. Practices with Georgia Surgical Professional Services LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 3
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
484 Irvin CtDecatur, GA 30030-5406
Phone: (404) 297-4248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Audiologist (primary) | Taxonomy 231H00000X · Licence AUD004381 (GA) |
|---|
Record details
| NPI number | 1134802630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 10, 2023 |
| Last updated in NPPES | August 10, 2023 |
| Certification date | June 8, 2023 |
| Mailing address | 484 Irvin Ct, Decatur, GA 30030-5406 |
Medicare enrollment
| Medicare specialty | QUALIFIED AUDIOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Georgia Surgical Professional Services Llc — 38 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Decatur
-
Alyssa Marie Odom, AUD
Audiology -126 1670 Clairmont Rd, Decatur, GA 30033 · (404) 235-3036
-
Liz Minnette Ramos, AUD
484 Irvin Ct Ste 140, Decatur, GA 30030-5406 · (404) 297-4230
-
Susan Klingbeil Ricker, MSCCC-A
1670 Clairmont Rd, Decatur, GA 30033-4004 · (404) 321-6111
-
Dr. Sarah Fillon Thompson, AUD
1670 Clairmont Rd Audiology Clinic (126), Decatur, GA 30033-4004 · (404) 321-6111
-
Dr. Chloe Blair White, AUD
1670 Clairmont Rd, Decatur, GA 30033-4004 · (404) 321-6111
-
Madison Zimmer
1670 Clairmont Rd, Decatur, GA 30033-4004 · (404) 235-3036