Tyler McKaylen Harless, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

32459 Issued in MS

Practice address

1801 Fuller Rd
Meridian, MS 39309-2111

Phone

(601) 679-2208

NPI assigned

May 16, 2022

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1164169686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393095106",
            "telephone_number": "601-679-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FULLER RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393092111",
            "telephone_number": "601-679-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "TYLER",
        "middle_name": "MCKAYLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "32459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank L Harbin
• Gwendolyn Hardaway
• Linda Hardin, LPN
• Jessica Hardy, FNP
• Jonnie Hardy
• Francis E Harman, M.D.
• Harmony Health Services, LLC
• Jenna Harper, AGPCNP-BC
• Shelby McKelvaine Harper, FNP-BC/AG-ACNP-BC
• Tabitha Harper, FNP

• General Practice Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.