Active NPI
Tyler Ladner
- Physician Assistant
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008124
- Practice address
- 1222 Jefferson Park Ave
Charlottesville, VA 22903-3410 - Phone
- (434) 982-3040
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110008124 | VA | Primary |
Addresses
Primary practice location
1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 982-3040
Other practice location 2
260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone (434) 244-3027
Other practice location 3
308 Corporate Dr
Ridgeland, MS 39157-8803
Phone (601) 898-7527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Mississippi Medical College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-0816
1222 Jefferson Park Ave
FL 3
Charlottesville, VA 22903-3410
Phone (434) 924-1931
260 Pantops Ctr
Charlottesville, VA 22911-8601
Phone (434) 244-3027
9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702
Hospital & facility affiliations
- University of Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008124 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Virginia | Urgent Care | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Urgent Care | Current | Accepting new patients |
| First Intermed Corporation | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients |
Locations
5606 Old Canton Rd
Jackson, MS 39211
Phone (601) 924-3350
342 Gilchrist Dr
Pearl, MS 39208
Phone (601) 939-0700
260 Pantops Ctr
Charlottesville, VA 22911
Phone (434) 244-3027
1222 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-1774
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Interoperability endpoints
- tladner684764@direct.healthsystem.virginia.edu
Organizations & group practices 6
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
-
- Urgent Care Clinic/Center
- Culpeper, VA
- NPI 1699019984
-
- Family Medicine Physician
- Ridgeland, MS
- NPI 1346275310
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1093100752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749112",
"telephone_number": "434-295-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 JEFFERSON PARK AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229033410",
"telephone_number": "434-982-3040"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-982-3040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "260 Pantops Ctr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229118601",
"country_code": "US",
"telephone_number": "434-244-3027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 Corporate Dr",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391578803",
"country_code": "US",
"telephone_number": "601-898-7527",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADNER",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.