Tyler Perry, MD
Psychiatry & Neurology, Psychiatry in Atlanta, GA. Individual provider (NPI-1).
NPI number1194493460
StatusActive
Last updated in NPPESNov 9, 2026
Details
- NPI
- 1194493460
- Entity type
- Individual (NPI-1)
- Name
- Tyler Perry
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2021
- Certification date
- Nov 9, 2026
- Last updated
- Nov 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 101844 | GA | Yes |
Practice location
201 Dowman Dr NeAtlanta, GA 30322-1007
Phone 404-727-6123
Mailing address
71 Selman St Se # AAtlanta, GA 30316-1239
Phone 401-338-1720
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