Active NPI
Shelton T Tyler, MOA
- Diplomate Laboratory Management Specialist/Technologist
- North Augusta, SC
National Provider Identifier
1679419535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diplomate Laboratory Management Specialist/Technologist
- Practice address
- 725 E Martintown Rd Ste 6
North Augusta, SC 29841-4239 - Phone
- (839) 839-5422
- NPI assigned
- Apr 24, 2026
- Last updated
- Apr 24, 2026
- 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 |
|---|---|---|---|---|
| Diplomate Laboratory Management Specialist/Technologist | 246QL0901X | SC | Primary |
Addresses
Primary practice location
725 E Martintown Rd Ste 6
North Augusta, SC 29841-4239
Mailing address
725 E Martintown Rd Ste 6
North Augusta, SC 29841-4239
Phone (839) 839-5422
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1679419535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E MARTINTOWN RD STE 6",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414239",
"telephone_number": "839-839-5422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E MARTINTOWN RD STE 6",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414239",
"telephone_number": "839-839-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "SHELTON",
"middle_name": "T",
"credential": "MOA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0901X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
- Cherie Trevino Cornell
- Heather Trotter
- Caroline Powell Turner, PA-C
- Taliah Turner
- Shakeila Janaiea Tyler
- Ultra Care (Right at Home)
- Umg Prompt Care South Carolina, LLC (University Prompt Care Sweetwater)
- United Rehab Inc. (United Rehab of North Augusta)
- University Health Services, Inc. (University Home Health North Augusta)
- University Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.