Tyler Neurosurgical Associates, P.a.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

TYLER NEUROSURGICAL ASSOCIATES, P.A.

Practice address

700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955

Phone

(903) 595-2441

Fax

(903) 595-0743

NPI assigned

Sep 29, 2005

Last updated

Jul 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candace Brown

Title

Practice Administrator

Phone

(903) 595-2441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kylie B Carimi, APRN, FNP-C

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1174276737
  Medicare reassignment Care Compare group NPD
• Thomas Julian Gianaris, M.D.

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1629417829
  Medicare reassignment Care Compare group NPD
• Mayra Alejandra Avila Acord, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Tyler, TX
  • NPI 1619442282
  Medicare reassignment Care Compare group
• Paul W Detwiler, MD

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1447253356
  Medicare reassignment Care Compare group
• Stephen V Nalbach Jr., MD

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1669672960
  Medicare reassignment Care Compare group
• Rachael L. Phillips, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1346056645
  Medicare reassignment Care Compare group
• Mark B Renfro, MD

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1003819913
  Medicare reassignment Care Compare group
• Amanda J Shipp, NP

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1336757228
  Medicare reassignment Care Compare group
• Thomas W Grahm, MD

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1568465474
  Medicare reassignment
• Mark A Hackbarth, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Henderson, TX
  • NPI 1629071527
  NPD (past)
• Richard Lee Smith, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1912088147
  NPD (past)
• Rodney D Vitovsky, PA-C

  • Surgical Physician Assistant
  • Fort Worth, TX
  • NPI 1619912581
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1164419727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 850",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011955",
            "telephone_number": "903-595-2441",
            "fax_number": "903-595-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 850",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011955",
            "telephone_number": "903-595-2441",
            "fax_number": "903-595-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER NEUROSURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-595-2441"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094747501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Integrative Health and Wellness, LLC (Infinity Health Solutions)
• Tyler Internal Medicine Associates, P.a.
• Tyler Kidney Doctors PA
• Tyler Massage, LLC
• Tyler Nephrology Associates, P.a. (The Centers For Kidney Care)
• Tyler Obstetrics and Gynecology L L P
• Tyler Office of Pediatrics P a
• Tyler Optical Lab Inc (barrett opticians)
• Tyler Oral & Facial Surgery Inc.
• Tyler Orthodontics, PLLC

• Neurological Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.