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

Timothy Tynan

Individual provider Cardiovascular Disease Physician · NPI 1457909012

Timothy Tynan is a Physician Assistant in Atlanta, Georgia. Qualified in 2022, 4 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

1462 Clifton Rd NE
Atlanta, GA 30322-1000
Phone: (404) 727-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 10854 (GA)

Record details

NPI number1457909012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address609 Virginia Ave Ne, Atlanta, GA 30306-5106

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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