Active NPI
Tyler William Joe Collier, DO
- General Practice Physician
- Sierra Vista, AZ
National Provider Identifier
1609505999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 32965
- Practice address
- 5700 Az90
Sierra Vista, AZ 85635 - Phone
- (520) 263-3190
- NPI assigned
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3797 | AZ | |
| General Practice Physician | 208D00000X | 32965 | MS | Primary |
Addresses
Primary practice location
5700 Az90
Sierra Vista, AZ 85635
Mailing address
1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719001377 | MS | Order and Referring Only - Family Practice | 5395281943 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3797 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients |
Interoperability endpoints
- tylercollier@nmhs.medalliesdirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1609505999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 S GREEN ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388046556",
"telephone_number": "662-377-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 AZ90",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85635",
"telephone_number": "520-263-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "TYLER",
"middle_name": "WILLIAM JOE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-10",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R3797",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "32965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
- Cochise Surgical Care PLLC
- Cochise Surgical Care, PLLC
- Cogent Healthcare of Arizona PC
- Richard Fred Cohen, D.P.M.
- Amanda L Colistro, PHARMD
- Community Dialysis Center LLC
- Community Medical Services Arizona-Private, LLC
- Community Medical Services Arizona-Private, LLC
- Community Partners Integrated Healthcare, Inc.
- Community Partners Integrated Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.