Active NPI
Tyler R Reese, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Fort Benning, GA
National Provider Identifier
1245559665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 26508
- Practice address
- 6600 Van Aalst Blvd BLDG 9250
Fort Benning, GA 31905-2102 - Phone
- (706) 544-2273
- NPI assigned
- May 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 26508 | NE | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 26508 | NE | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd BLDG 9250
Fort Benning, GA 31905-2102
Mailing address
6600 Van Aalst Blvd BLDG 9250
Fort Benning, GA 31905-2102
Phone (706) 544-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- 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 |
|---|---|---|---|---|
| I20141218001340 | HI | Order and Referring Only - Family Practice | 6901129279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26508 | NE | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1245559665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "706-544-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "706-544-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "TYLER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NE",
"license": "26508",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NE",
"license": "26508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.