Individual provider Active NPI

Amma Ankrah Tyler, N.P.

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1417396722
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006277 Issued in NC
Practice address
991 W Hudson Blvd
Gastonia, NC 28052
Phone
(704) 853-5000
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006277 NC
Family Nurse Practitioner 363LF0000X 18503 SC
Family Nurse Practitioner 363LF0000X 5006277 NC Primary

Addresses

Primary practice location

991 W Hudson Blvd
Gastonia, NC 28052

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 759-0700

Other practice location 1

7811 N Point Blvd
Winston Salem, NC 27106-3209
Phone (336) 759-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20131015002030 NC Practitioner - Nurse Practitioner 4486888997 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18503SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services, LLC CurrentSince Feb 20, 2023 Accepting new patients
NMG Health Services LLC Current Accepting new patients
NMG Health Services, LLC CurrentSince Feb 20, 2023 Accepting new patients
NMG Health Services, LLC Past Accepting new patients

Locations

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

Interoperability endpoints

  • Direct secure messaging: atyler537141@direct.novanthealth.org
  • Direct secure messaging: amma.tyler@direct.gastondhhspublichealthdept.nchie.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1417396722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-759-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28052",
            "telephone_number": "704-853-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7811 N Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063209",
            "country_code": "US",
            "telephone_number": "336-759-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "AMMA",
        "middle_name": "ANKRAH",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.