Individual provider Active NPI

Tyler Chad Carter, PA

  • Physician Assistant
  • Saint George, UT
National Provider Identifier
1295477172
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14213922-8906 Issued in UT
Practice address
1449 N 1400 W Ste 19
Saint George, UT 84770-5237
Phone
(435) 688-7572
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14213922-8906 UT Primary

Addresses

Primary practice location

1449 N 1400 W Ste 19
Saint George, UT 84770-5237

Mailing address

440 N Paiute Dr
Cedar City, UT 84721-6181
Phone (435) 867-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826001976 TX Practitioner - Physician Assistant 1557861275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

440 N Paiute Dr
Cedar City, UT 84721-6181

PO Box
Suite 5478
Pawtucket, RI 02862

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14213922-8906UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paiute Indian Tribe of Utah CurrentSince Jun 13, 2025 Accepting new patients
Paiute Indian Tribe of Utah Current Accepting new patients
Paiute Indian Tribe of Utah Current Accepting new patients

Locations

376 N Paiute Dr
Cedar City, UT 84721
Phone (435) 867-1520

440 N Paiute Dr
Cedar City, UT 84721
Phone (435) 867-1520

6109 W 3700 N
Ivins, UT 84738
Phone (435) 688-8198

1449 N 1400 W
Ste 19
St George, UT 84770
Phone (435) 688-0759

Interoperability endpoints

  • Direct secure messaging: tyler.carter.1@14860.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1295477172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-867-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 N 1400 W STE 19",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847705237",
            "telephone_number": "435-688-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TYLER",
        "middle_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14213922-8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

Verify at the official NPI Registry.