Individual provider Active NPI

Tyler Lewis Carllee, M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1003228891
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E-13051 Issued in AR
Practice address
201 W Van Asche Loop
Fayetteville, AR 72703-4996
Phone
(479) 966-4491
Fax
(479) 966-4311
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E-13051 AR Primary
Orthopaedic Surgery Physician 207X00000X 2019-00680 NC

Addresses

Primary practice location

201 W Van Asche Loop
Fayetteville, AR 72703-4996

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-3003

Other practice location 2

2601 Gene George Blvd
Springdale, AR 72762-0845
Phone (479) 725-6800

Other practice location 3

507 W Monroe Ave
Lowell, AR 72745-8909
Phone (479) 334-7030

Other identifiers 1

IdentifierTypeStateIssuer
0397730007OtherNCNSC#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190620002044 NC Practitioner - Orthopedic Surgery 3870719230 Reassigns benefits to 2 organizations
I20200814000647 AR Practitioner - Orthopedic Surgery 3870719230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001
  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince May 12, 2020 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Jul 24, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 1, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 12, 2020 Accepting new patients
Orthocarolina Orthopaedic Surgery Current Accepting new patients
University of Arkansas for Medical Sciences Pediatric Orthopaedic Surgery Current Accepting new patients
Orthocarolina, PA Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Sep 24, 2019 Accepting new patients
Carolinas Medical Center Orthopaedic Surgery CurrentSince Sep 24, 2019 Accepting new patients
University of Arkansas for Medical Sciences Orthopaedic Surgery Current Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Arkansas Children'S Hospital CurrentSince Aug 8, 2020 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Aug 8, 2020 Accepting new patients

Locations

201 W Van Asche Loop
Fayetteville, AR 72703
Phone (479) 966-4055

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

507 W Monroe Ave
Lowell, AR 72745
Phone (479) 334-7030

2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

Networks

  • MS PPO D-SNP
  • TN PPO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • MS PPO C-SNP
  • TN PPO
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: tcarllee23190@washingtonregional.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/13210/brand/1/csg/1/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1003228891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W VAN ASCHE LOOP",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034996",
            "telephone_number": "479-966-4491",
            "fax_number": "479-966-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071101",
            "country_code": "US",
            "telephone_number": "704-323-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Gene George Blvd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620845",
            "country_code": "US",
            "telephone_number": "479-725-6800",
            "fax_number": "479-725-6582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 W Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "AR",
            "postal_code": "727458909",
            "country_code": "US",
            "telephone_number": "479-334-7030",
            "fax_number": "479-334-7029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLLEE",
        "first_name": "TYLER",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-13051",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2019-00680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC#",
            "identifier": "0397730007",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.