MARY LYNN TYSON (M.D.) – Psychiatry Physician, NPI 1780669218

MARY LYNN TYSON (M.D.) is a healthcare provider. based in Augusta, Georgia. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 030683 (GA). The NPI Number for MARY LYNN TYSON (M.D.) is 1780669218

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY LYNN TYSON (M.D.)
NPI
1780669218
Phone
(706) 736-8170
Address
1727 WRIGHTSBORO RD
Enumeration Date
7 December 2005
Last Update Date
21 October 2013

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7064947776
Graduation Year
1986 (40 years ago)
PAC ID
8325010416
Group Practice PAC ID
8224330410
Professional Enrollment ID
I20040810000188
Address ID
GA319012522CO421XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

832 PSYCHIATRY in GA

Loading map...

Provider Addresses for MARY LYNN TYSON (M.D.)

  • 1727, Wrightsboro Road, Oglethorpe Homes, Augusta, Richmond County, Georgia, 30904, United States

    SUITE B

    AUGUSTA, GA 309044074

    Phone: (706) 736-8170

    Fax: (706) 736-8184

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 286 Open Payments records for all available years, with a total value of $6,686.

Total Amount is formed as General ($6,686) + Research ($0) + Ownership ($0) = $6,686.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,569).

Total Amount

$6,686

General + Research + Ownership

Payments

286

Total payment records

General Amount

$6,686

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2004-08-10

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
I20040810000188IPsychiatryGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes14560$0
99213Established patient office or other outpatient visit, 20-29 minutes13568$0
99214Established patient office or other outpatient visit, 30-39 minutes5026$0
99215Established patient office or other outpatient visit, 40-54 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 30904)

Loading plans...

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: 8224330410View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
P S Y C H I A T R YGA
P S Y C H I A T R YGA
Clinical Social WorkerGA
Clinical Social WorkerGA
Nurse PractitionerGA
Nurse PractitionerGA
P S Y C H I A T R YGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MARY LYNN TYSON (M.D.)?
NPI 1780669218 is assigned to MARY LYNN TYSON (M.D.) under the national enumeration system.
Is MARY LYNN TYSON (M.D.)'s NPI currently valid?
The extract we use shows MARY LYNN TYSON (M.D.) as active.
What kind of provider is MARY LYNN TYSON (M.D.)?
The page reflects Psychiatry Physician for MARY LYNN TYSON (M.D.). Clinical services aligned with this taxonomy classification.
Where is MARY LYNN TYSON (M.D.)'s primary listing?
We display Augusta, Georgia because that is what the record indicates for MARY LYNN TYSON (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. VIRGINIA YATES (M.D.)

Psychiatry Physician
Eisenhower Army Medical Center, 300, East Hospital Road, Augusta, Richmond County, Georgia, 30905, United States
NPI: 1063412500

DR. TYRONE GARY BRISTOL (M.D.)

Psychiatry Physician
PO BOX 601372
NPI: 1437150596

DR. MARSHALL D. BEDDER (M.D.)

Psychiatry Physician
1321 Interstate Pkwy Ste A
NPI: 1013906833
1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States
NPI: 1033193412

PETER BECHAN ROSENQUIST (MD)

Psychiatry Physician
997, Saint Sebastian Way, Augusta, Richmond County, Georgia, 30901, United States
NPI: 1033193099

DR. WILLIAM VAUGHN MCCALL (MD)

Psychiatry Physician
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
NPI: 1902881485

Unknown Individual

Psychiatry Physician
3421, Mike Padgett Highway, Apple Valley, Augusta, Richmond County, Georgia, 30906, United States
NPI: 1114902764

SUSAN T THISELL (CNS)

Psychiatry Physician
3421, Mike Padgett Highway, Apple Valley, Augusta, Richmond County, Georgia, 30906, United States
NPI: 1528043064