Active NPI
Tammy Ryan, NP
- Medical Specialty Clinic/Center
- Rock Hill, SC
National Provider Identifier
1265923106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Practice address
- 417 E Black St # 103
Rock Hill, SC 29730-5341 - Phone
- (803) 226-7371
- NPI assigned
- May 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
417 E Black St # 103
Rock Hill, SC 29730-5341
Mailing address
1634 Brandyhill Dr
Rock Hill, SC 29732-1879
Phone (704) 340-1815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 11, 2026 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1265923106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 BRANDYHILL DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321879",
"telephone_number": "704-340-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E BLACK ST # 103",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305341",
"telephone_number": "803-226-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "TAMMY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-26",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
- Rion M. Rutledge, M.D.
- RWW Senior Living Outpatient Rehab Services, LLC
- RX for Life, LLC
- Ryan Ventures, Inc. (Right at Home Rock Hill)
- Patrick Thomas Ryan, MD
- Allan S. Ryder-Cook, M.D.
- S and D Cares, LLC (Synergy HomeCare of Fort Mill)
- S&Y Respiratory Solutions LLC
- Peter Anwar Saad, PHARMD
- Bryce Rodd Saba, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.