NPIMap

Individual provider Active NPI

Michael J. Tyler, M.D.

  • Family Medicine Physician
  • Pittsboro, NC
National Provider Identifier
1346324118
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24878 Issued in NC
Practice address
75 Old Graham Rd
Pittsboro, NC 27312-5655
Phone
(919) 542-2731
Fax
(919) 542-7083
NPI assigned
Oct 25, 2006
Last updated
May 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24878 NC Primary

Addresses

Primary practice location

75 Old Graham Rd
Pittsboro, NC 27312-5655

Mailing address

75 Old Graham Rd
Pittsboro, NC 27312-5655
Phone (919) 542-2731

Other identifiers 7

IdentifierTypeStateIssuer
0151836OtherNCUNITEDHEALTHCARE-PITTSBOR
8984267MedicaidNC
84267OtherNCBCBS
31985OtherNCMEDCOST-PITTSBORO
0151838OtherNCUNITEDHEALTHCARE-SANFORD
152734500OtherUS DEPT. OF LABOR
51232OtherNCMEDCOST-SANFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000158 NC Practitioner - Emergency MedicinePractitioner - Family Practice 6406807312 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Carolinas Emergency Group, PLLCGroup PAC ID 2567486814, 62 clinicians

Practice addresses (Care Compare)

2301 US Hwy 74 W
Wadesboro, NC 28170-7554
Phone (704) 694-5131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Emergency Physicians, PLLC CurrentSince Apr 1, 2015 Accepting new patients
The Carolinas Emergency Group, PLLC CurrentSince Mar 1, 2015 Accepting new patients
Sylva Emergency Group LLC CurrentSince Dec 5, 2017 Accepting new patients
Kinston Physicians Group, PLLC CurrentSince Apr 1, 2015 Accepting new patients
Five Points Medical Center Inc Past Accepting new patients
Community Family Medicine and Obstetrics, P.a. Family Medicine Past Accepting new patients
Five Points Medical Center, PC Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1346324118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 OLD GRAHAM RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125655",
            "telephone_number": "919-542-2731",
            "fax_number": "919-542-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 OLD GRAHAM RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125655",
            "telephone_number": "919-542-2731",
            "fax_number": "919-542-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE-PITTSBOR",
            "identifier": "0151836",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8984267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST-PITTSBORO",
            "identifier": "31985",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE-SANFORD",
            "identifier": "0151838",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "152734500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST-SANFORD",
            "identifier": "51232",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

Verify at the official NPI Registry.