Individual provider Active NPI

Joseph Tyler Talley, PA-C

  • Physician Assistant
  • Keller, TX
National Provider Identifier
1629688288
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15551 Issued in TX
Practice address
121 Quest CT Ste B
Keller, TX 76248-3748
Phone
(630) 536-9644
NPI assigned
Aug 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15551 TX Primary

Addresses

Primary practice location

121 Quest CT Ste B
Keller, TX 76248-3748

Mailing address

121 Quest CT
Keller, TX 76248-3748
Phone (817) 431-9199

Other practice location 1

3600 N Garfield St
Midland, TX 79705-6329
Phone (806) 252-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15551TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Buffington Family Medicine PLLC CurrentSince Sep 15, 2024 Accepting new patients
Buffington Family Medicine PLLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

121 Quest Ct
Ste B
Keller, TX 76248
Phone (630) 536-9644

121 Quest Ct
Keller, TX 76248
Phone (817) 431-9199

Interoperability endpoints

  • Direct secure messaging: joseph.talley.1@17502.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17502/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1629688288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 QUEST CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483748",
            "telephone_number": "817-431-9199",
            "fax_number": "833-973-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 QUEST CT STE B",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483748",
            "telephone_number": "630-536-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 N Garfield St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797056329",
            "country_code": "US",
            "telephone_number": "806-252-2268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "JOSEPH",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.