Keontra Tyes
NPI 1134802630ActiveIndividual· Audiologist· Decatur, GA
Audiologist with Georgia Surgical Professional Services LLC, practicing in Decatur, Georgia. Medicare paid $7,959 for services to 168 patients in 2024.
Overview
| NPI | 1134802630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 10, 2023 |
| Last updated in NPPES | Aug 10, 2023 |
| Certified by provider | Jun 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AUD004381 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 168 |
|---|---|
| Services billed | 387 across 5 procedure codes |
| Paid by Medicare | $7,959 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Georgia Surgical Professional Services LLCAtlanta, GA · 38 clinicians
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All 30 audiologists in Decatur · All audiologists in Georgia