Tyler Sherwood, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2564 Issued in TN

Practice address

1229 S 1St St
Union City, TN 38261-5014

Phone

(731) 885-8282

Fax

(731) 885-1998

NPI assigned

Aug 7, 2014

Last updated

Aug 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union City Urgent Care LLCGroup PAC ID 3678517836, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Union City Urgent Care LLC

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1275698797
  Medicare reassignment Care Compare group
• Union City Urgent Care

  • Physician Assistant
  • Union City, TN
  • NPI 1811306525
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1639588221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SHERWOOD DR",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382611915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S 1ST ST",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615014",
            "telephone_number": "731-885-8282",
            "fax_number": "731-885-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Russom, NP
• Karyn Satterfield, MPT
• Grover Ferdinand Schleifer III, MD
• Chelsea Shannon, FNP-BC
• Philip A Sherman, M.D.
• Michelle Le Short, LMT, MMP, BCTMB
• Travis Dale Shumate, DDS
• Nickolas J Simpson, PA-C
• Southern Pain and Regenerative Medicine PC
• Deborah Sue St Clair, MD

• Physician Assistant in Union City, TN
• Providers in Union City, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.