Tyler Alexander Mardis, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-154576 Issued in AL

Practice address

333 Business Cir
Pelham, AL 35124-1778

Phone

(205) 490-8837

NPI assigned

Nov 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• River Region Psychiatry Associates LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497
  Medicare reassignment Care Compare group NPD
• South Central Alabama Mental Health Board Inc

  • Community/Behavioral Health Agency
  • Andalusia, AL
  • NPI 1194866905
  Medicare reassignment NPD
• Psychiatry Associates, PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1346592326
  NPD (past)
• Soma Healthcare, LLC

  • Multi-Specialty Clinic/Center
  • Homewood, AL
  • NPI 1548839483
  NPD (past)

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1427767987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BUSINESS CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241778",
            "telephone_number": "205-490-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BUSINESS CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241778",
            "telephone_number": "205-490-8837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1736 Oxmoor Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352094053",
            "country_code": "US",
            "telephone_number": "205-879-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDIS",
        "first_name": "TYLER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-154576",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-154576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Maisonville
• Vickie Kelpke Maly, RPH
• Tamra Carlson Mann, OTR/L
• Kye L Mansfield, OD
• Amy Vanessa Marchant
• Kristin M Mares
• Brittany Marsh, PHARMD
• Stacie L Martin
• Robyn Mashon, PT
• Chelsia Massey, BCBA

• Psychiatric/Mental Health Nurse Practitioner in Pelham, AL
• Providers in Pelham, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.