DAVID AARON TYSON (MD) – Psychiatry Physician, NPI 1194305300

DAVID AARON TYSON (MD) is a healthcare provider. based in Lake mary, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. RTL21-0368 (NC). The NPI Number for DAVID AARON TYSON (MD) is 1194305300

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DAVID AARON TYSON (MD)
NPI
1194305300
Phone
(689) 206-0540
Address
255 Primera Blvd Ste 264
Enumeration Date
12 April 2021
Last Update Date
23 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9049024408
Graduation Year
2021 (5 years ago)
PAC ID
4688075682
Group Practice PAC ID
0840550596
Professional Enrollment ID
I20250416000187
Address ID
FL322078352JA841XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for DAVID AARON TYSON (MD)

  • 255 Primera Blvd Ste 264

    Lake Mary, FL 327462148

    Phone: (689) 206-0540

    Type: Location

  • 9102 Southpark Center Loop Ste 120

    Orlando, FL 328198626

    Phone: (689) 282-6774

    Type: Location

  • 203 Fort Wade Rd

    Ponte Vedra, FL 320815158

    Phone: (904) 344-3627

    Type: Location

  • 2100 Stantonsburg Rd

    Greenville, NC 278342818

    Phone: (252) 744-1406

    Type: Location

  • 2100 STANTONSBURG RD

    GREENVILLE, NC 278342818

    Phone: (252) 744-1406

    Type: Mailing

  • 841 PRUDENTIAL DR STE 1100

    JACKSONVILLE, FL 322078352

    Phone: (904) 344-3489

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $606.

Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($258).

Total Amount

$606

General + Research + Ownership

Payments

14

Total payment records

General Amount

$606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250416000187IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840550596View full group profile
NameSpecialtyState
Nurse PractitionerUT
P S Y C H I A T R YAZ
Nurse PractitionerAZ
Geriatric Psychiatry, PsychiatryIN
P S Y C H I A T R YCO
Nurse PractitionerGA
P S Y C H I A T R YAZ
P S Y C H I A T R YTX
P S Y C H I A T R YAZ
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DAVID AARON TYSON (MD) in U.S. healthcare records?
The official identifier for DAVID AARON TYSON (MD) is NPI 1194305300.
Would DAVID AARON TYSON (MD) appear as active to a payer?
You can treat DAVID AARON TYSON (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DAVID AARON TYSON (MD)?
At a glance, DAVID AARON TYSON (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DAVID AARON TYSON (MD) associated with Lake Mary?
Public fields place DAVID AARON TYSON (MD) around Lake Mary, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DAVID AARON TYSON (MD) is noted as April 12, 2021 where the registry provides it.

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