Individual provider Active NPI

Larry Earl Tyrer III, FNP-C

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1366986606
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN238935 Issued in GA
Practice address
417 W 3Rd Ave
Albany, GA 31701-1943
Phone
(229) 312-1000
NPI assigned
Dec 6, 2016
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN238935 GA Primary

Addresses

Primary practice location

417 W 3Rd Ave
Albany, GA 31701-1943

Mailing address

2740 Ray Knight Way Ste 100
Albany, GA 31707-0226
Phone (229) 312-0698

Other practice location 1

2740 Ray Knight Way Ste 100
Albany, GA 31707-0226
Phone (229) 312-0698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170313000443 GA Practitioner - Nurse Practitioner 7416231485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN238935GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Infectious Disease CurrentSince Feb 1, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

2740 Ray Knight Way
Ste 100
Albany, GA 31707
Phone (229) 312-0698

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • Direct secure messaging: larry.tyrer.1@8478.direct.athenahealth.com

Organizations & group practices 2

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 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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1366986606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 RAY KNIGHT WAY STE 100",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070226",
            "telephone_number": "229-312-0698",
            "fax_number": "229-565-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "229-312-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 Ray Knight Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317070226",
            "country_code": "US",
            "telephone_number": "229-312-0698",
            "fax_number": "229-565-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRER",
        "first_name": "LARRY",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN238935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.