Teddi Byram, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10003241A Issued in IN

Practice address

489 S State Road 135 Ste F
Greenwood, IN 46142-1407

Phone

(317) 887-7640

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Teddi Collins Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Community Physician Network Urgent Care LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1487444782
  Medicare reassignment Care Compare group NPD
• Meridian Medical Services, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1255579942
  Medicare reassignment NPD
• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1033548896
  Medicare reassignment
• Meridian Correctional Services LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Indianapolis, IN
  • NPI 1598188260
  NPD
• Nora Urgent Care LLC

  • Urgent Care Clinic/Center
  • Indianapolis, IN
  • NPI 1518352434
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1023782174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 S STATE ROAD 135 STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421407",
            "telephone_number": "317-887-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRAM",
        "first_name": "TEDDI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10003241A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEDDI",
            "last_name": "COLLINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Leeann Burton
• Amirah Butler, PA-C
• Hayley Elizabeth Danielle Butler, RBT
• Kristin Butler, LMHC
• Vinnie M Butler, LCSW
• Rayiana J Byrd
• Herman Cabacungan
• Shawn Cabbell, DDS
• Martina Cabell
• Elisha Cain, O.D.

• Medical Physician Assistant in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.