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

Mitzi Braddock Tyre, FNP

Individual provider Registered Nurse · NPI 1396983227

Mitzi Braddock Tyre, FNP is a Nurse Practitioner in Waycross, Georgia. Qualified in 2020, 6 years ago. Practices with Unison Behavioral Health, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2009
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1007 Mary St
Waycross, GA 31503-3823
Phone: (912) 387-7737
Fax: (912) 449-7080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Executive Cir, Savannah, GA 31406-3345 — (912) 349-9777

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN170702 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN170702 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN170702 (GA)

Record details

NPI number1396983227
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 30, 2009
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address2900 Mossy Oak Trl, Waycross, GA 31503-4621

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Unison Behavioral Health — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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