Clyde Luis McTier Jr., ARNP-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3017 Issued in SC

Practice address

2922 Professional Pkwy
Augusta, GA 30907-6528

Phone

(706) 855-2767

Fax

(706) 855-7077

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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.

• Aiken Psychotherapy

  • Clinical Nurse Specialist
  • Aiken, SC
  • NPI 1659543262
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

• Mr. C. Luis McTier Jr. Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2011.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1497831192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 PROFESSIONAL PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076528",
            "telephone_number": "706-855-2767",
            "fax_number": "706-855-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 PROFESSIONAL PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076528",
            "telephone_number": "706-855-2767",
            "fax_number": "706-855-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTIER",
        "first_name": "CLYDE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "MCTIER",
            "middle_name": "LUIS",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "ARNP-FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kenneth Francis McPherson, PHD
• Sarah Lynn McPherson, CRNA
• Sharon Marie McRae
• Robert A McShane, DO
• Kelly A McSweeney, MD
• Tiyonna McTier
• Teresa McVeigh, RPH
• Me Pivot Holdings LLC
• Dianne Meador
• Nicole Trent Meagher, LPC

• All providers in Augusta, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.