Kelly Segraves Tyson, MS - Counselor in Grovetown, GA

Kelly Segraves Tyson, MS is a Counselor - Mental Health based in Grovetown, Georgia. Kelly Segraves Tyson is licensed to practice in Georgia (license number APC003687) and her current practice location is 3913 Griese Ln, Grovetown, Georgia. She can be reached at her office (for appointments etc.) via phone at (706) 877-1011.

NPI number for Kelly Segraves Tyson is 1164769261 and her current mailing address is 3913 Griese Ln, Grovetown, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164769261.

Contact Information

Kelly Segraves Tyson, MS
3913 Griese Ln,
Grovetown, GA 30813-8301
(706) 877-1011
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelly Segraves Tyson
GenderFemale
SpecialityCounselor - Mental Health
Location3913 Griese Ln, Grovetown, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164769261
  • Provider Enumeration Date: 01/09/2013
  • Last Update Date: 04/30/2015

Medical Identifiers

Medical identifiers for Kelly Segraves Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164769261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health APC003687 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Segraves Tyson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Segraves Tyson, MS
3913 Griese Ln,
Grovetown, GA 30813-8301

Ph: () -
Kelly Segraves Tyson, MS
3913 Griese Ln,
Grovetown, GA 30813-8301

Ph: (706) 877-1011

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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