Active NPI
Tyra Lynn Taylor, NP
- Women's Health Nurse Practitioner
- Union, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 19181
- Practice address
- 1201 Furman L Fendley Hwy Ste C
Union, SC 29379-7419 - Phone
- (864) 427-8380
- Fax
- (864) 427-8308
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 19181 | SC | Primary |
Addresses
Primary practice location
1201 Furman L Fendley Hwy Ste C
Union, SC 29379-7419
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3008 | Medicaid | SC |
Other names 1
- Tyra L Mason
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ttaylor40723@direct-srhs.et0939.epichosted.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150130002397 | SC | Practitioner - Nurse Practitioner | 6204150881 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Medical Center
Practice addresses (Care Compare)
1201 Furman L Fendley Hwy
Suite C
Union, SC 29379-7419
Phone (864) 427-8380
Hospital & facility affiliations
- Union Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19181 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Union Medical Center | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Union Medical Center | Current | Accepting new patients | |
| Union Medical Center | Current | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
2 Maple Tree Ct
Ste B
Greenville, SC 29615
Phone (864) 297-8777
1201 Furman L Fendley Hwy
Ste C
Union, SC 29379
Phone (864) 427-8380
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
SC
-
- Cardiovascular Disease Physician
- Union, SC
- NPI 1841074044
-
- Rural Health Clinic/Center
- Union, SC
- NPI 1144722919
-
- Rural Health Clinic/Center
- Union, SC
- NPI 1184126955
-
- General Acute Care Hospital
- Union, SC
- NPI 1396129201
-
- Rural Health Clinic/Center
- Union, SC
- NPI 1780186569
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Obstetrics & Gynecology Physician
- Union, SC
- NPI 1275035255
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1174920847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 FURMAN L FENDLEY HWY STE C",
"city": "UNION",
"state": "SC",
"postal_code": "293797419",
"telephone_number": "864-427-8380",
"fax_number": "864-427-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TYRA",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "19181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3008",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ttaylor40723@direct-srhs.et0939.epichosted.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ttaylor40723@direct-srhs.et0939.epichosted.com",
"address_1": "1201 Furman L Fendley Hwy Ste C",
"city": "Union",
"state": "SC",
"country_code": "US",
"postal_code": "293797419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TYRA",
"last_name": "MASON",
"middle_name": "L",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Union, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.