Active NPI
Tyler Martin
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1868
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-1037
- Fax
- (843) 402-1295
- NPI assigned
- Oct 31, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1868 | SC | Primary |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 602645
Charlotte, NC 28260-2645
Phone (843) 789-1620
Other practice location 1
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 572-5990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1901PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Savannah Hwy
Charleston, SC 29407-7805
Phone (843) 300-3355
1675 N Main St
Summerville, SC 29486-7847
Phone (843) 285-2169
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093
2863 N Hwy 17
Mt Pleasant, SC 29466-8962
Phone (843) 606-3911
8720 Dorchester Rd
North Charleston, SC 29420-7303
Phone (843) 552-3629
8740 Rivers Ave
North Charleston, SC 29406-9211
Phone (843) 377-2406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1868 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Roper Hospital Inc | Current | Accepting new patients | |
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients | |
| Charleston Carenow Urgent Care, LLC | Past | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
1115 Savannah Hwy
Charleston, SC 29407
Phone (843) 300-3355
1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246
7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310
10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570
2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803
3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000
8720 Dorchester Rd
Ste 1201
North Charleston, SC 29420
Phone (843) 552-3629
8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411
201 Business Center Dr
Pawleys Island, SC 29585
Phone (843) 314-3209
301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246
1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169
110 Medical Cir
Ste A
West Columbia, SC 29169
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
- Emergency Medicine Physician
- Moncks Corner, SC
- NPI 1104983055
-
- Cardiovascular Disease Physician
- Mt Pleasant, SC
- NPI 1629499298
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1902991607
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N. Charleston, SC
- NPI 1104563758
-
- Critical Care Medicine (Internal Medicine) Physician
- Mt Pleasant, SC
- NPI 1578362232
-
- Emergency Medicine Physician
- Mount Pleasant, SC
- NPI 1649587270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774742400000",
"number": "1649524455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602645",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602645",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-1037",
"fax_number": "843-402-1295"
}
],
"practiceLocations": [
{
"address_1": "8740 Rivers Ave",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294069211",
"country_code": "US",
"telephone_number": "843-572-5990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2026-03-29",
"certification_date": "2026-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "1868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1901PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.
- 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.