Active NPI
Tyler G. Marks, MD
- Orthopaedic Hand Surgery Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 23190
- Practice address
- 1211 South Gloster
Suite a
Tupelo, MS 38801 - Phone
- (662) 767-4200
- Fax
- (662) 767-4204
- NPI assigned
- Jul 1, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 23190 | MS | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 23190 | MS | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 23190 | MS | Primary |
Addresses
Primary practice location
1211 South Gloster
Suite a
Tupelo, MS 38801
Mailing address
1211 South Gloster
Suite a
Tupelo, MS 38801
Phone (662) 767-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04722052 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Mississippi School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200
Hospital & facility affiliations
- North Mississippi Medical Center
- Baptist Memorial Hospital-Oktibbeha County
- Baptist Memorial Hospital Booneville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 180 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Orthopedic Group of Mississippi PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Specialty Orthopedic Group of Mississippi PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Specialty Orthopedic Group of Mississippi PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Specialty Orthopedic Group of Ms, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
203 W Bankhead St
New Albany, MS 38652
723 Concordia Ave
Oxford, MS 38655
100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057
723 Concordia Ave
Ste 102
Oxford, MS 38655
Phone 66276742001057
118 Highway 12 W
Starkville, MS 39759
Phone (662) 324-8070
4381 S Eason Blvd
Ste 102
Tupelo, MS 38801
Phone (662) 377-3380
1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380
Interoperability endpoints
- tylermarks@nmhs.medalliesdirect.net
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1639553506
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Orthopaedic Surgery Physician
- Batesville, MS
- NPI 1063162469
-
- Orthopaedic Surgery Physician
- Senatobia, MS
- NPI 1801491352
-
- Orthopaedic Surgery Physician
- New Albany, MS
- NPI 1467000927
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Starkville, MS
- NPI 1346112521
-
- General Acute Care Hospital
- Booneville, MS
- NPI 1396709978
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1659533412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 SOUTH GLOSTER",
"address_2": "SUITE A",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-767-4200",
"fax_number": "662-767-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 SOUTH GLOSTER",
"address_2": "SUITE A",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-767-4200",
"fax_number": "662-767-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "TYLER",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MS",
"license": "23190",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "MS",
"license": "23190",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MS",
"license": "23190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04722052",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EHR",
"affiliation": "N",
"endpointDescription": "Exscribe",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1211 South Gloster",
"address_2": "Suite A",
"city": "Tupelo",
"state": "MS",
"country_code": "US",
"postal_code": "38801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.