Active NPI
Tyler Christian Parris, M.D.
- Internal Medicine Physician
- Gadsden, AL
National Provider Identifier
1124461769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 271466
- Practice address
- 945 Chestnut St
Gadsden, AL 35901-4034 - Phone
- (256) 547-9222
- NPI assigned
- Apr 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35915 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 271466 | MA | Primary |
Addresses
Primary practice location
945 Chestnut St
Gadsden, AL 35901-4034
Mailing address
75 Francis Street
MRB 4
Boston, MA 02115-6110
Phone (617) 732-5802
Other practice location 1
University Of Tennessee
910 Madison Avenue Suite 1031
Memphis, TN 38163-0001
Phone (901) 448-5814
Other practice location 2
25 Morrissey Blvd Unit 1236
Boston, MA 02125-3357
Phone (256) 312-1442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190408000596 | AL | Practitioner - Nephrology | 0446498372 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Alabama School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nephrology Associates of Mobile, P.a.
Practice addresses (Care Compare)
124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004
Hospital & facility affiliations
- FMC Bay Minette
- DaVita Gulf Shores Dialysis Center
- FMC Home Therapy Services of Baldwin County
- FMC Eastern Shore
- Thomas Hospital
- Baldwin Health
- North Baldwin Infirmary
- Mobile Infirmary Medical Center
- Thomas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35915 | AL | MD | Internal Medicine Physician |
| 271466 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Mobile, P.a. | Current | Accepting new patients |
Locations
2505 Hand Ave
Bay Minette, AL 36507
Phone (251) 433-1180
917A Plantation Blvd
Fairhope, AL 36532
Phone (251) 410-8272
1715 N Bunner St
Foley, AL 36535
Phone (251) 943-2300
230 E Fern Ave
Foley, AL 36535
Phone (251) 943-1500
124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053
Interoperability endpoints
- tparris26303@direct.acumenmd.com
Organizations & group practices 1
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.
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bay Minette, AL
- NPI 1144332909
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gulf Shores, AL
- NPI 1811140767
Dialysis facility
-
- Rehabilitation Hospital Unit
- Fairhope, AL
- NPI 1700384385
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1124461769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "MRB 4",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 CHESTNUT ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359014034",
"telephone_number": "256-547-9222"
}
],
"practiceLocations": [
{
"address_1": "University Of Tennessee",
"address_2": "910 Madison Avenue Suite 1031",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381630001",
"country_code": "US",
"telephone_number": "901-448-5814",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Morrissey Blvd Unit 1236",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021253357",
"country_code": "US",
"telephone_number": "256-312-1442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARRIS",
"first_name": "TYLER",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-13",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "35915",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "271466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.