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

Stephen Charles Tyson

Individual provider Anesthesiologist Assistant · NPI 1811568140

Stephen Charles Tyson is an Anesthesiology Assistant in Conyers, Georgia. Qualified in 2021, 5 years ago. Practices with North Atlanta Anesthesia Professionals, LLC, a 543-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1612 Milstead Rd NE Ste B
Conyers, GA 30012-3738
Phone: (770) 388-7745
Fax: (770) 922-0526
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 10610 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1811568140
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address4140 Alexis Ct, Loganville, GA 30052-9070

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Atlanta Anesthesia Professionals, Llc — 543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Conyers