Rodney D. Tyson MD,PC
Rodney D. Tyson MD,PC is a healthcare organization registered as Primary Care Clinic/Center in Adel, GA, holding Type 2 (organization) NPI 1245419183 since 2007. The authorized official on file is Rodney Tyson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245419183 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Rodney D. Tyson MD,PC |
| Practice address | 103 JAMES ST, Adel, GA, 31620 |
| Phone | 2298963424 |
| Fax | 2298963838 |
| Enumeration date | 2007-10-28 |
| Last updated in NPPES | 2010-01-04 |
Authorized official
| Name | Rodney Tyson |
|---|---|
| Title | President |
| Phone | 2298963424 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 038994 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00703425A | Medicaid | GA | — |
| 507222 | Other | GA | BCBS PROVIDER NUMBER |
Copy-ready billing details
Provider: Rodney D. Tyson MD,PC NPI: 1245419183 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 103 JAMES ST, Adel, GA, 31620
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629518014 | David Vickers | Individual | Family Nurse Practitioner | Adel, GA |
Verify this record
Cross-check NPI 1245419183 against the authoritative CMS record: view Rodney D. Tyson MD,PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-01-04.